Claims Analysis Secure Engine

Electronic or paper feed

Pre Pay

• Fee Negotiation
• Fraud Detection
• Medical Audit
• Clinical Review

Post Pay

• Eligibility
• (Payer, Medicare)
• Coordination of Benefits
  
• ESRD
• Duplicates
• Contract Compliance
• Auditing
• Fraud Detection
• Medical Audit & Clinical Review
  • Hospital Bill Audit
    
  • Desk Audit
    
  • Coding Audit
    
  • Physician Claim Audit
    
  • DRG Validation