Healthcare Claims Processing

We offer highly flexible claims

processing solutions to meet the needs

of our customers.

Our innovative claims processing services cover the entire

range of possible service options from simple front-end claims

data capture to full, end-to-end claims processing as a

component of complete benefit plan administration.

Xerox has extensive knowledge and expertise and handles over

one billion healthcare claims each year. All of our claims processing

services are technology-neutral. Our solutions utilize a combination

of proprietary and client tools to create a system customized to

meet the needs of each health plan. Our clients may designate the

application platforms and provide secure access into their

processing environment. Many of our clients work within a multi-

application environment. We will analyze the enterprise and

provide automation tools and implement our internally developed

applications where appropriate to help optimize each client’s

claims processing systems.

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Reduce costs and improve quality with a single vendor.

Our Claims Processing Services

A great customer experience isn’t a one-time thing. Your

customers expect great things at every touch point. We provide

services to manage all correspondence and documentation

relating to claims. We integrate inbound and outbound

communications to ensure you’ll exceed their expectations each

and every time.

We can help you reduce costs and improve quality with multiple

services from a single, high-quality outsourcing vendor.

Customers expect fast, consistent help when they reach out to

your contact center or self-service platform and want

personalized communications with engaging, relevant

information.

We deliver custom digital, print and mail, eDelivery, Web, and

voice campaigns to help you communicate your message to

many, but speak individually. This can only happen when back-

end support platforms are synchronized with front-end

communications. Our portfolio of services can be deployed in

multiple configurations to meet all of our claims processing

needs. We offer:

• Adjustment processing

• Benefits administration

• Claim suspend resolution

• Coordination of Benefits (COB)

• Data validation

• Eligibility determination

• Medical and network management

• Payment processing

• Pricing / reimbursement

• Utilization management

For more information, visit www.xerox.com.

Capabilities

Our strong capabilities provide for an ever growing number of

outsourced services. Our payment services are a part of an

integrated suite of transactional services which support claims

processing solutions and provide for:

• Cash management

• Check processing

• Credit/debit card processing

• Clearinghouse services

• Electronic balance and fund transfer