Global Payer Resource
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aca impact on employers and solutions

 

Factoid
  • Over ten years of experience in healthcare BPO
  • 1200 employees, 150 years of management experience
  • 18 million healthcare transactions/year with financial accuracy of over 99% handling $83 billion
  • Happy client references with over 60% of the relationships over 5 years
  • HIPAA compliant - audited by clients
  • Stable and profitable organization
  • Offices in Cheyenne, WY; Chennai & Vellore – India

Services

Global, through its back office outsourcing services, provides a business solution to health insurance payers who are trying to find a balance between complying with ACA provisions and staying profitable while meeting shareholder expectations.

With the support of Global's services, you can focus on new growth opportunities, ACA mandates and long-term sustainability. Significantly, your organization will succeed in making dramatic savings, achieve SLA driven effectiveness, gain operational efficiencies and scalability to put you ahead of the game during the next few turbulent years.

Our services help you stay flexible in a changing environment and efficiently manage your back-office:

  • Eligibility & EnrollmentOpen or Close
    • Review customer’s data
    • Determine coverage eligibility
    • Information verification
    • Redeterminations and appeals
    • Process demographic information
    • Plan benefits
    • ID card
    • Contract
    • Certificate of coverage
    • Plan documents
    • Refunds
    • Member billing and eligibility

    Accurate enrollment

    Precise enrollment, fast data implementation and process completion ensures increased accuracy of billing, fulfillment, customer responsiveness and satisfaction of employer and member.

  • Policy AdministrationOpen or Close
    • Policy maintenance
    • Policy holder changes
    • Remittances
    • Premium lapses
    • Renewal and premium billing

    Aggressive member services

    On-time accurate notices, quicker member payment reconciliation and proactive resolution of errors enable accuracy of member data, retention and quicker revenue recognition.

  • Claims ManagementOpen or Close
    • Claims entry
    • Claims adjudication
    • Remittance advice
    • Adjustments and appeals

    Improved claims efficiency

    Faster and accurate claims processing,  high rate of financial payment and transaction accuracy ensures satisfaction for members and providers.

  • Provider Network ManagementOpen or Close
    • Provider demographics
    • System loading
    • Validating contract documents
    • Network eligibility
    • Network mapping
    • Contract mapping
    • Fee mapping

    Optimized provider services:

    Network eligibility, network mapping, contract mapping and fee mapping delivers accurate first time payments, minimum corrective transactions, member satisfaction and provider retention.

Business Benefits

Do you want to know how Global can transform your options?
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Cost savings, scalability, efficiency, non-linear growth
Call us for a no-obligation consultation

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