Health claims adjudication for individual and worksite product administration. Process and validate service details for each coverage element and plan dependent, along with submitted/paid data and benefit parameters. Adjustor levels ensure oversight and review for claim payments. ICD-10 compliant.
Health claims adjudication for individual and worksite product administration. Process and validate service details for each coverage element and plan dependent, along with submitted/paid data and benefit parameters. Adjustor levels ensure oversight and review for claim payments. ICD-10 compliant.