Claims Processing & Payment Disbursements

Our Claims Management Process for health insurance products results from combining key operational resources with accounting and treasury management applications provided by our banking partners.

After assessed and approved, claims require to be reimbursed to individual clients or directly paid to health service providers, at this time our real time link between operations, accounting, and our treasury management applications comes in force. The result is a cost efficient and timely service for both carriers and clients, monitoring individual payments after being approved either by US checks, local checks or wire transfers, all of them in multiple currencies.

Components of the complete Claims Management Process might be selected individually by specific carriers, depending on their own structure. These include:

Claim reception & input.
Claim assessment (authenticity & costs).
Fraud prevention controls.
Claim monitoring.
Payment authorizations.
Payment method assessment.
Payment transactions.
Payment authorizations.
Accounts conciliation with services provided.