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Payor Services

1. Simple to Complex Health Claim Processing: eDocs caters to all large/medium/small scale health insurance payers dealing in simple healthcare claims processing such as HCFA, UB, ADA etc. and special & complex claims processing such as prescriptions, Superbills, Medicare, Mediclaim etc. eDocs handles volumes of 500,000 transactions per month.

2. Pre-adjudication Services: Identifies avoidable denials prior to submission – reducing errors and time for payment. We perform member & provider eligibility verification & match right provider to the right member. The proprietary workflow helps sigma level quality which gives higher auto adjudication rate which in turn gives cost savings to the clients.

3. Provider Maintenance: Maintenance of provider’s database as per their requirement and records.

4. Electronic Data Interchange (EDI): eDocs provides EDI testing capabilities, helps migrate from one EDI format to the other. We customize EDI output as per client’s need from any unstructured format. eDocs delivers 100,000 records per month. we deal in enrolment forms conversion. All forms of EDI conversions like ANSI 837, NSF or, customized EDI are catered to.

eDocs Claims Transaction processing – Online

eDocs Claims Transaction processing – Offline

eDocs Healthcare – Member Update Process

eDocs Healthcare – Provider Update Process