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the best us healthcare rcm company in India
Payer Services
Improve provider and member engagement and retention.
Partnering for Better Outcomes.
Payer Services
Business process outsourcing
Clarus provides the full range of payer business process services. The new Medical Loss Ratio Mandate has made it an important obligation for health insurances to improve their quality of administrative functions at lowered costs. We provide personalized solutions that help insurance companies increase efficiency and reduce costs by efficiently managing their claims.
Claims Data Entry Services
Types of Claims Supported
We pay great attention to details during data entry for insurance claims and take steps to make sure these claims are compliant to various regulatory standards
We have expertise in handling data entry of general insurance claims, demographic information, medical insurance claims, CMS 1500, UB04 and flexible spending claims. Delays in transaction processing will lead to the end customer dissatisfaction leading to a loss of customers, which could have a negative impact on revenues and growth. At Clarus, delays are unheard of.
Our data entry services yield various benefits by
Saving time and reducing overhead costs
Enhanced levels of accuracy
HIPAA compliant data center operations
Quicker retrieval of page or document with an organized indexing system
Our data services include:
CMS1500
UB04 (Single / Multi / Attachment / COB)
Dental Claims
Prescription claims
Foreign claims
Superbills
Miscellaneous (complex / non-standard forms)
Pends / Correspondence
Vision Claims
Medicaid/ Medicare
Claims Adjudication Services
Member Enrollment Services
We have efficient experts in place to make claims adjudication a simple and convenient process. We easily manage unwanted claims, duplicate claims and delayed execution, which has a direct impact on profits. By choosing Clarus, you will be able to streamline your healthcare claims adjudication. The process of receiving & verifying claims and settling the claims forms is a complex insurance processing task, for anyone to undertake. Instead, you can leverage our expert claims services. Our dedicated team of claims adjudicators, subject matter experts, and claims analysts will support you through the entire claims adjudication process.
Clarus has a well-established delivery team to provide Member Enrollment Services. We have a wide range of solutions for your back-office operations. We also have highly skilled resources to process large volume enrollments, member updates, and terminations. At Clarus, we work very closely with our clients to identify recurring production requirements and align our staffing levels to meet our client requirements. We significantly improve turnaround times and data loading accuracy from multiple sources such as brokers and plan administrators. Our workflow platforms allow us to manage the process, auditing and initiate new planning for our clients. Clarus also handles correspondence for members, brokers and benefits managers.
Key benefits include:
Complex contract and pricing term protection
Demographic maintenance
Network integration
Improved quality resulting in more accurate claims payment
Improved accuracy of provider directory information
Improved productivity leading to significant cost savings
Tailored services to meet customer needs
Meet stringent Turn-Around time
Management of unpredictable volume levels
High levels of accuracy
Claims Pricing Services
Clarus helps payers reimburse providers accurately using prospective payment methodologies, knowledge base, and tools.
Key benefits include:
Successfully manage risk using a prospective payment
Compute reimbursement for inpatient and outpatient, out-of-network claims
Form the impact of reimbursement strategies before implementation
Automate regulatory updates