Healthcare
Quality of care and reducing the healthcare costs are the "buzz" words we keep hearing in the healthcare
industry today. We help our clients in transforming their business by ensuring the solutions we offer are
scalable for future needs in the midst of unprecedented regulations and reforms. In short, we don't just
deliver quality solutions for today but also equip you for tomorrow.
We cater to the following lines of businesses:
Payers
To ensure thorough and prompt accurate settlements of claims, we use
proven methodologies to handle any plan parameters, co-payment levels,
deductibles, Coordination of Benefits, Subrogation, applying benefits limitations
and exclusions resulting in prompt claims processing, excellent customer service, Utilization
Review, Pre-certifications and an extraordinary provider relations which have a great impact on
savings. This is the Real Saving for our clients.
Our services will not only reduce your overall expenses, but will also integrate a claims
processing capability using highly qualified claim auditors for claims administration which
will result in a decrease in cost and overhead operational expenditure.
Payer Services
Enrolment
- Imaging and OCI
- Indexing
- Data Entry
- Underwriting
- Policy Generation
Customer Service
- Claims Status Enquiry
- Premium Enquiry
- Provider Network Enquiry
- Subrogation
- Collections
Claims
- Claims Data Entry
- Adjudication
- Statement Processing
- Re-pricing
- Audit
- Cost Containment
Policy Maintenance
- Member Demographics
- Premium Administration
- Policy Coverage Changes
Other Services
Payer Solutions
Compliance
- Section 111 Reporting
- Star Metrics
- ICD Solutions
Portals & Mobility
- Member
- Agent
- Patient
- Group Onboard
Enterprise Intelligence
- Pay for Performance (P4P)
- Rules Engine
- Claim Analytics
- Performance Scorecards
- ROI Analysis
Provider Services
We address growing service demands, changing regulations, competition and ever diminishing
margins that continue to challenge Health Systems. It is our commitment to provide quality
service to the physician, providers and their healthcare professionals in a timely and cost
effective manner. We independently manage and perform the assigned processes to transform your
business and take it to the next level. We can scale up within a short period of time to meet
your expectations.
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- Patient Scheduling
- Patient Registration
- Eligibility Verification
- Medical Coding
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- Medical Billing
- Claims Transmission
- Insurance Follow-up
- Payment Posting
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- Self-Pay Follow-up
- EOB Follow-up
- Denial Management
- Collections
Provider Solutions
- Benchmark Comparisons (DRG, Physicians)
- Executive Management Dashboards and KPIs
- Hospital Value Reporting (Cost Savings/ROI)
- Hospital/Physician Scorecard
- Physician Performance Management System
- Hospital Performance Benchmark System
- Clinical Quality Management Reporting
Dental Services
Dental office administrators spend significant amounts of time manually posting paper checks and remittances
into practice management systems, a labor intensive and administratively complicated process,
often times resulting inaccuracies ranging from posting errors to underpaid or denied claims.
With NuNet3 customized solutions, customers are able to improve their efficiency, reduce cost,
increase cash flow and more efficiently manage complex revenue and payment cycle process
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- Patient Registration
- Patient Scheduling
- Eligibility Verification
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- Benefits Verification
- Cash Posting
- Insurance Follow-up
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- Denial Management
- Collections
Dental Solutions
- Benchmark Comparisons (DRG, Physicians)
- Executive Management Dashboards and KPIs
- Value Reporting (Cost Savings/ROI)
- Dentist Performance Management System
- Hospital Performance Benchmark System
- Clinical Quality Management Reporting
- Cost Analytics
- Dentist Scorecard
