Medical Claims and Encounter Processing Services

Get access to high-quality and accurate medical claims and encounter processing services by partnering with Flatworld Solutions at prices starting from only $1280/month

Are you looking for efficient, accurate, and effective medical claims and encounter processing solutions to support your downstream encounter data processing and production? Are you interested in obtaining financial encounter balancing and reconciliation tracking? Do you want support during the process of filing claims to encounter support? If so, you have come to the right place.

Flatworld Solutions (FWS) is a leading provider of medical claims and encounter processing services to a diverse clientele. We help with performing reconciliation reviews, monitoring encounters, accepting and rejecting reviews, and creating vendor status reports. We ensure accurate, complete, and timely encounter data production by our ability to receive complete and accurate claims from healthcare providers at the 'front-end' of the data submission process. With our medical claims and encounter processing services, you can improve the quality of encounter data received and reported to regulatory agencies.

Our Medical Claims and Encounter Processing Services

Flatworld Solutions is a leading medical claims and encounter processing service provider and can help you with a wide range of solutions.

Our medical claims and encounter processing services include -

1. Data Extraction and Preparation Services

   

   We have integrated medical claims and encounter processing processes that allow us to systematically extract claim data from various data sources into an encounter data repository. Our services allow you to minimize the effect of bottlenecks and the need for manual intervention. This ensures that we meet the requirements for accuracy and timeliness when it comes to encountering data submission. Our services have also been created to comply with all the relevant industry regulations and standards.

2. Encounter Data Pre-submission Scrub and Validation of Accuracy Services

   

   Our medical claims and encounter processing solutions also provide a pre-submission scrub process that allows us to customize and apply edits to Medicare and Medicaid encounter data before submission to the State. In this way, we can identify situations that could result in a payer denying the encounter and holding the claim for a review.

   When errors are identified, we correct any issues and reprocess the claims to ensure a valid encounter submission.

3. Encounter Data Correction and Resubmission Services

   

   When an error-containing encounter document needs claim to reprocess, we make corrections at the source and resubmit the file. If a systematic error necessitates a system configuration change, we submit a request for a configuration change to correct the error. After the errors are corrected, we resubmit the encounter data in the subsequent encounter cycle.

Other Services You Can Benefit From

Why Outsource Medical Claims and Encounter Processing Services to Flatworld Solutions?

Flatworld Solutions has rich experience in providing high-quality medical claims and encounter processing services. Here are some additional benefits of working with us.

• Cost-effective Pricing

  We provide our medical claims and encounter processing solutions at extremely affordable rates and provide you real value for money.

• Data Security

  Being a leading provider of medical claims and encounter processing services, we take the security of your data very seriously and, to this end, are also ISO/IEC 27001:2022-certified.

• Tools and Technologies

  All our medical claims and encounter processing workers use the latest and best tools and technologies.

• HIPAA Compliance

  As a leading medical claims and encounter processing service providing company, our processes are all fully compliant with the HIPAA regulations.

• High-quality Services

  You will always receive high-quality medical claims and encounter processing solutions when you outsource to us.

• World-class Infrastructure

  All our medical claims and encounter processing experts work out of world-class office spaces equipped with the latest infrastructure and amenities.

• Quick Turnaround Time

  You will always receive our services on time, every time.

• Expert Team

  Our medical claims and encounter processing team is highly experienced, qualified, and committed to providing exceptional quality every time.

Client Success Stories

Demographic and Charge Entries Performed using the Kareo Software

Flatworld Solutions helped a Houston-based medical billing company process more than 17,000 claims every month and save more than 45% of their operating cost.

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Medical Transcription Services Provided to Australian Radiologists

Our team of medical transcriptionists provided high-quality medical transcription services to a team of Australian radiologists.

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Outsource Medical Claims and Encounter Processing Services to Flatworld Solutions

Flatworld Solutions provides highly customized medical claims and encounter processing services to a wide variety of clients. Our services are fully compliant with the HIPAA and other industry regulations and standards and are provided by a team of highly dedicated and experienced personnel. Our team also uses the latest techniques, tools, and technologies to always provide cutting-edge services.

If you're looking for high-quality and cost-effective medical claims and encounter processing services, get in touch with us today!