Claims Processing

HealthComp's claims system is automated and fully integrated with both billing and eligibility. In order to satisfactorily perform the automated claims adjudication process, the system stores all Plan-specific parameters, usual and customary data. The system also maintains numerous automated controls to assist in the prevention and detection of erroneous or invalid claim payments.

Turnaround

HealthComp provides one of the fastest turn-around times in the industry. We have a 24-hour turn-around goal for “clean” claims, with actual turn-around averaging between one-to-three days. Our quick turn-around policy results in:

1. Your employees perceive your health plan as being a true benefit, therefore morale among your workforce remains high.
2. Eliminating unnecessary phone calls from employees and/or providers asking for claim status.
3. Preventing providers from harassing your employees for payment.
4. Assuring maximum reimbursement from your stop-loss coverage.

Customer Service

If calling during our normal business hours (6:00 a.m. to 4:30 p.m. PST), you always speak with a live person, either by using our automated call routing system or speaking directly to an operator. Based upon the type of inquiry, the call will be routed to designated individuals specially trained to service your particular group. These individuals are trained not only to take your call, but also to actually resolve any problem without referring your call to another employee.