Claims Processing

Anyone within the insurance process will tell you this can be a rather tedious method considering the amount of forms their square measure and also the several variations they will have. As, an example the HCFA forms that has around fifty completely different delicate variations.Besides this every TPA has their own exclusive approach of process claims creating the accuracy of processing the forms a challenge.This is why at inniti we tend to follow a full proof technique of providing complete accuracy. We've got an associate degree constitutional system that perpetually checks and validates the varied steps of the claim process cycle.

Claims Investigation

With our past experience we recognize that each claim is different and each form and claim requires to be assessed thoroughly to insure 100% accuracy. Our team while investigation has built their own process and systems; but also has experience of working with several systems like EMC’s Captiva, Trizetto Facets and EMC’s Action Point.

Data processing

Our data experts have a keen eye on which claims need to be rejected, changed or approved.

Case Settlement

We believe that claims settlement is a very important aspect of the running of an insurance company; as the member expects a quick settlement which meet their expectation. That’s why each case settlement is managed as part of a business transaction at Inniti and through effective and easily handled interfaces.

Claims Adjudication

At Inniti we believe that this process is best handled by experts specially trained on the claims adjudication process. Claims payment and repricing being a complicated and detailed process our team of experts who are looking into the adjudication process have over the years developed an inbuilt proprietary claims system which helps bring about quicker and accurate results.