Insurance & Healthcare

Our experience in this sector covers Commercial Medical Insurance, Medicare and Medicaid Claim Processing. Other areas in which we provide services include Auto and Life Insurance, Pharmaceuticals, Hospitals and Emergency Departments within Hospitals.

Processes within the Insurance & Healthcare Sector:

Medical Claims Processing
Biz-Core is a leader in the processing of Professional, Institutional and Dental Claim forms. We provide complete processing from receipt of forms (paper or image) through the Adjudication of the claim. With regard to Medicaid or Medicare, we are experienced in processing specific variations as demanded by a particular State or the Federal Government.

Auto/Life Insurance Processing
Capturing information from the application form is just the just the first step in providing quality processing. Biz-Core also provides down-line processing verifying the information contained on the application is valid. Biz-Core provides a complete paperless process for our clients, customized databases and digital images are available to authorized users.

Pharmacy/Clinical Surveys
In conjunction with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Biz-Core currently captures and secures the patient data as required by this Act. As part of the patient care file, information regarding a past or current medical condition is meticulously recorded and made part of the patient record.

Patient/Hospital Charts
Critical care facilities are concerned with saving lives; Biz-Core provides much needed assistance by capturing the critical information contained on the Patient Charts. Each day Patient Charts are Indexed and Digitized to be available in a Digital Repository. The information & Images within these Charts are categorized. Medical personnel can access these encrypted and password protected Charts with proper authorization