SLN SOFT SOLUTIONS

Healthcare Payer

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Medical Coding Services

Healthcare landscape and regulatory updates that occur almost daily, it is imperative to stay on top of all industry changes in order to maximize revenue and maintain compliance.

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Claims Management

Maximizing accuracy at every point in the claims payment process is essential if payers are to compete. Our deep understanding and evaluation methodology of medical claims and contracts enable payers to save money through the identification of overpaid claims.

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Member Management

SLN SOFT Solutions manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage to help automate the process and free up necessary resources.

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Claims Management

SLN SOFT Solutions specializes in process improvement to enhance revenue and streamline operations. For payers, our claims BPM and KPM services lead to significant reductions in cost and TAT (turnaround time) through integrated process redesign and technological innovations. Our paper to EDI conversion, combined with repricing and our rule-based auto adjudication support services, help payer clients further cut down on costs.

Maximizing accuracy at every point in the claims payment process is essential if payers are to compete. Our deep understanding and evaluation methodology of medical claims and contracts enable payers to save money through the identification of overpaid claims. By utilizing our payer assistance services, SLNSOFT Solutions is able to enhance accuracy and drive revenue for our clients.

  • Claims Conversion
  • Claims Adjudication Support
  • Pre-Adjudication Support
  • Claims Repricing
  • EDI 5010
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