Services

Description

Infinite MedTech Solutions (IMTS)is one of the fastest emerging Knowledge Process Outsourcing (KPO) Organization in the business of “Health-Insurance Claim Processing, Coding, Medical/ Commercial Audit, Decision support & claim process, IT-enabled Services”.

Our knowledge base empowers us to serve entities like Insurance Companies (Payers), TPA’s, and other intermediaries. Our expertise includes

Payer Services:
• Policy Administration - Benefit Plan Setup in the system
• Enrolment Process - Addition, deletion, modification of details in the system
• Pre-Approvals Process - Adjudication of OP/ IP requests from the providers
• Claim Processes (Direct Billing, Member Reimbursement and E-claims)
• Medical Scrutiny / Billing / Processing /Medical Audit
• Payment Request, Transfer Request Preparations
• Float-Fund Management
• Letters Management
• Provider Management and Claims Reconciliations
• Reporting, MIS & Analytics
• Email Support

Provider Services:
• Medical coding for service codes
• Pre-claim submission Support
• Reconciliation/Rejected claims management (Revenue Cycle Management)

IT Services:
• “Claims Engine – An In-house developed cutting edge End to End Claim Processing Software” which provides access to Benefit Plan Module /Enrollment Module /
Admin/ Pre-Authorization/Claims/Payment/Network/ CRM/Reports & Analytics and Provider Login modules.
• Ancillary Applications & Mobile App Development