Payer Services
Comprehensive Claim Life Cycle Management Solutions
Eligibility and Enrollments
Claims Adjudication
Appeals and Grievances
Network Support Services
Payer Analytics
Data Marshall offers “Claim Life Cycle Management” solutions including administrative, management, and analytical services across various stages of the claim. We leverage our extensive Payer domain expertise to support Provider Networks, Health Plans, and Third-Party Administrators.
Our Service Offerings
Policy Administration
- Enrollments – New Enrollments and updates maintenance
- Eligibility Management
- Pre-Ex and COB information verification
Network Management
- Provider Contracting
- Out-of-Network Claims Negotiation Support
- Fee Negotiation Proposal processing
Payer Analytics
- Post-Payment reimbursement validation
- Medicare Risk Adjustment Audits
Provider Database Management
- Provider updated data maintenance
- Facility data maintenance
- Manual Provider matching
- Provider Credentialing Support
Claims Management
- Claims Data Entry
- Claims Adjudication services
- International, RX and CDH claims processing
- Appeals and Grievances
How do you benefit?
Financial accuracy levels on Claims Adjudication exceeding 99%
24x7 operations leading to improvement in TAT by 33%
Cost savings of 40-50%
Transition time lines reduced by 20% and training costs reduced by 60%
Flexible staffing and pricing models
Prevention of possible overpayments and first level appeals