Appropriate health care is being expected for proper delivery. The Philippines can provide solutions and services from certified medical professionals. Healthcare professionals have a high value on hard work, excellence, and achievement. This supports the fact that they are adept, sharp, and qualified as those in other countries.
Healthcare processes are very patient-centered. Because patients serve as the consumers, their opinion matters most.
Just like the usual BPO companies, healthcare support services:
As a call center support provider, we are an extension of your business. We help in creating a promising and better connection for patients. We achieve this through our top-notch services.
We have our 24/7 call center support services. It allows patients to connect with clinics and hospitals at any time. No weekend or holiday is going to be empty for the safety and health of everyone.
This further creates a good impression with the availability to customers.
We have a team of trained call center support that has knowledge in the medical field. We guarantee that patients do not have to worry about receiving the wrong details. We offer a high level of customer satisfaction.
We are able to cater to clients around the globe through our multilingual support team. As a result, this makes your customer base wider.
We make use of the information from the medical field. Then we make a special feature. This helps clinics and hospitals get value-for-money services.
The healthcare industry matters the most in these times. And Magellan Solutions, as a company serving the people, guarantee quality services for:
Patient issues are not limited to a certain time frame. We are an extension of the medical industry. Because of this, we understand your mission. Treat your patients with the best care possible.
Clinics are the ones that deal with a high volume of contacts and calls. They focus on handling patients. They also coordinate with other medical professionals.
Our hospice managers provide empathetic support. Answered calls from family members ensure that they’re taken care of.
As a physician’s answering service, we cover a number of tasks. We handle appointment scheduling or giving standard information to potential new patients.
After the patients’ visit, either the doctor sends a bill to the patients’ insurance company for any charges. Patients themselves may also submit a claim for the services they received. A claims processor will then check it for completeness, accuracy, and whether the service is covered under your plan.
Primarily, claims processing involves three important steps:
1.) Claims Adjudication
After a medical claim is submitted, the insurance company determines its financial responsibility for the payment to the provider. This process is referred to as claims adjudication. The insurance company can decide to pay the claim in full, deny the claim, or reduce the amount paid to the provider.
2.) Explanation of Benefits (EOBs)
EOBs are statements from your health insurance company providing details on payment for a medical service you received. It explains what portion of services was paid by your insurance plan and what part you’re responsible for paying.
3.) Claims Settlement
This is a request that a health insurance policyholder submits to the insurance company. They are able to obtain the services that are covered in their health insurance policy. A health insurance policyholder can either get reimbursed or can opt for a direct claim settlement option for the availed medical services. In this way, one can either submit the claim form or request the health insurance provider cashless services.
Need more assistance regarding claims processing? Fill out the form below for more details on this!
Contact us today for more information.