Solutions

Claims management that adds payment integrity at every touchpoint

As health care billing practices and policy become more complex, you may struggle with timely claims processing and accurate provider payments. Instead of trying to keep pace with policy and regulatory changes on your own, rely on us. You’ll find that every process in our claims management solution is modernized to meet policy and regulations with maximum efficiency and accuracy.

Claims Management Solutions

  • Claims payment
  • Appeals payment
  • Document management
  • Medical necessity
  • Coding validation
  • Overpayment recovery
  • Payment question resolution
  • Electronic data interchange (EDI)
  • Inbound mail receipt imaging
  • OCR Technology
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Vigilant security

Consistently a top performer in the federal security standard audit rankings

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270 million

Health care claims processed yearly

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50 States & US Territories

Where we’ve administered claims

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260+ million

Annual EDI transactions

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quote five stars

"Business process modernization is not something we do—it’s who we are as an organization."

-Troy Aswege, Noridian Sr. V.P. of Operations