Biz-Core is one of the largest vendors of Medical Insurance Claims Form processing in the US.

Client
A Major Multi-state Medicaid Service Provider.

Outsourced Process
Medicaid Claims Processing for various States.

Volume
Between 35,000 and 45,000 Medicaid Claim Forms per day.

Time Period
Biz-Core has been executing this outsourced process since May 1998.

Summary of Processes

	Mail Pickup, Sorting and High-Speed Mail Processing.
	Image Capture, or Receipt of Images sent by Client
	Processing knowledge of HCFA’s, UB92’s, EOB’s, Dental, Enrollments, and XO’s.
	Customer-Specified Logic-based Editing of Data from Eligibility Tables.
	Provider Databases, Diagnostic and Procedure Code.
	Integration of paper encounter with electronic encounter data.
	Transfer of Encrypted Data between Secure Servers.
	Storage & Retrieval from Digital Image Repository.

Additional Services include:

	Inbound/Outbound Tele-Services.
	Verification of Provider Information/Patient Information.
	Clarification and/or Confirmation of Patient Insurance Coverage.
	Coding of Claims or Verification of Coded Claims.