Claims Processing & Document Management

Billing. Collections. Payroll. Insurance claims processing.

They’re essential to running your business, but they can also be a distraction from doing business.

Healthy HMOs, PPOs, and at-risk plans

Aptara can take over the entirety of your organization’s payer administration and claims processing functions, including billing and remittance processing. We handle enrollment and adjudication functions as well.

Our Claims Processing centers utilize state-of-the-art medical billing and claims processing systems that meet all HIPAA confidentiality requirements and are staffed by veterans of the healthcare and insurance industries.

Our specialists are quick and precise, thereby reducing per-transaction time and increasing the accuracy of the data they produce. Our call center and back-office staff increase customer satisfaction by providing tight turnaround times (TATs), regardless of volume.

As a result, your administrative and operational costs decrease.

The document processing workflow experts

In an initial consultation, we map out a transition plan for processing your documents that ensures a seamless workflow transition from your staff to ours. Our network security protocols ensure that your databases remain protected, and real-time monitoring systems ensure a process with few surprises.

Aptara’s document processing workflow methodology focuses on five key areas:

  1. Front-end claims processing and management for data entry, correspondence, and storage
  2. Claims re-pricing to increase profitability
  3. Claims adjudication and error-suspense resolution, including quality assurance (QA) and reporting
  4. Enrollment, membership, member verification, and billing services that link to any legacy systems to ensure accuracy
  5. Customer service via phone, email, and/or website, including inbound and outbound correspondence

Whatever your business, Aptara collaborates with you and your existing teams to provide document processing that’s fast and exacting—for less than the cost of an in-house team.