{"id":5642,"date":"2021-07-07T20:55:40","date_gmt":"2021-07-07T20:55:40","guid":{"rendered":"https:\/\/mbsap.com\/en\/?page_id=5642"},"modified":"2021-11-24T18:26:52","modified_gmt":"2021-11-24T18:26:52","slug":"claims-adjudication","status":"publish","type":"page","link":"https:\/\/mbsap.com\/en\/claims-adjudication\/","title":{"rendered":"Claims Adjudication"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1637636344514{background-image: url(https:\/\/mbsap.com\/en\/wp-content\/uploads\/2021\/11\/health-insurance-1.jpg?id=7274) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_empty_space][vc_row_inner][vc_column_inner][vc_column_text css=&#8221;.vc_custom_1637778293608{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: rgba(0,0,0,0.5) !important;*background-color: rgb(0,0,0) !important;border-radius: 5px !important;}&#8221;]<\/p>\n<h1 style=\"color: #fff;\">MBSAP HEALTHCARE CLAIMS ADJUDICATION SERVICES<\/h1>\n<p style=\"color: #fff;\">Whether it is manual or electronically submitted claims we will scrutinize the claims record to ensure accuracy in patient names, diagnostic codes, and process claims that are valid and reimbursable. Our medical claim examiner will closely examine claims after the application of insurance and reject ones that are partially fulfilling, duplicate, or erroneous. Our diligent claims adjudication practices will speed up claims execution and help you contain risks that impact your profit.<\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-md vc_hidden-sm vc_hidden-xs&#8221; css=&#8221;.vc_custom_1625850521539{margin-top: 20px !important;margin-bottom: 20px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1625855819279{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #ffffff !important;border-radius: 5px !important;}&#8221;]<\/p>\n<h2>Get a FREE QUOTE<\/h2>\n<p>Make Mbsap work in 24 hours!<\/p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4932-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5642#wpcf7-f4932-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4932\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4932-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"request_callback\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"text-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"text-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone number\" value=\"\" type=\"tel\" name=\"text-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-text\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your message\" name=\"textarea-text\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div id=\"cf7sr-69e60de1b2b8f\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6Le8z8ocAAAAAPJ9zDWyNQn_j1HdmRHI3w-AlmBJ\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"col-md-4\">\n\t\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner vc_general vc_btn3 vc_btn3-size-lg vc_btn3-shape-rounded vc_btn3-style-flat vc_btn3-icon-right vc_btn3-color-theme_style_3 h_secondary\" type=\"submit\" value=\"Send\" \/>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h2>Healthcare Claims Adjudication Services We Offer<\/h2>\n<p>Mbsap has experienced teams of medical claim examiners who have decades of experience in manual and electronic claims adjudication. We are proud partners to over 500 hospitals and insurers worldwide. We constantly update our knowledge base via workshop sessions to stay equipped against the latest challenges that delay the payment process. Our claims adjudication services include &#8211;<\/p>\n<div id=\"text-column-list-inpage\" class=\"two-col\">\n<ul>\n<li><i>\u00a0<\/i>Medical Claims Processing<\/li>\n<li>\u00a0Medical Claims and Encounter Processing<\/li>\n<li><i>\u00a0<\/i>Remittance Processing<\/li>\n<li><i>\u00a0<\/i>Medicare Reimbursement Services<\/li>\n<li><i>\u00a0<\/i>Dental Claims Adjudication Services<\/li>\n<li><i>\u00a0<\/i>Determination of benefits<\/li>\n<li><i>\u00a0<\/i>Verification of provider details<\/li>\n<li><i>\u00a0<\/i>Detection of fraudulent claims<\/li>\n<li><i>\u00a0<\/i>Ensuring correctness of raw claims data<\/li>\n<li><i>\u00a0<\/i>Performing rule-based edit<\/li>\n<li><i>\u00a0<\/i>Eligibility Checking<\/li>\n<li><i>\u00a0<\/i>Verification for duplicate claims<\/li>\n<li><i>\u00a0<\/i>Recommendation of changes to rejected claims<\/li>\n<\/ul>\n<\/div>\n<h2>Type of Medical Claims We Adjudicate<\/h2>\n<p>Some of the major types of claims we process include, but not limited to &#8211;<\/p>\n<ul class=\"two-col-list\">\n<li>HCFA 1500 \/ CMS 1500<\/li>\n<li>UB92\/UB04<\/li>\n<li>Dental Claims<\/li>\n<li>Pends \/ Correspondence<\/li>\n<li>Enrollment Forms Processing (EFP)<\/li>\n<li>Vision Forms<\/li>\n<li>Miscellaneous (Complex \/ Non-standard)<\/li>\n<\/ul>\n<p>Apart from processing the above-mentioned types of claims, we also have the required skills, expertise, and bandwidth to provide our clients with the following related services &#8211;<\/p>\n<ul>\n<li>PPO Repricing<\/li>\n<li>Forms Processing<\/li>\n<li>Insurance Fraud Detection<\/li>\n<li>EDI Integration<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<h2>Get a FREE QUOTE<\/h2>\n<p>Make Mbsap work in 24 hours!<\/p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4932-o2\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5642#wpcf7-f4932-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4932\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4932-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"request_callback\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"text-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"text-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone number\" value=\"\" type=\"tel\" name=\"text-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"input-group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-text\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your message\" name=\"textarea-text\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div id=\"cf7sr-69e60de1b35c0\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6Le8z8ocAAAAAPJ9zDWyNQn_j1HdmRHI3w-AlmBJ\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"col-md-4\">\n\t\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner vc_general vc_btn3 vc_btn3-size-lg vc_btn3-shape-rounded vc_btn3-style-flat vc_btn3-icon-right vc_btn3-color-theme_style_3 h_secondary\" type=\"submit\" value=\"Send\" \/>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1637636344514{background-image: url(https:\/\/mbsap.com\/en\/wp-content\/uploads\/2021\/11\/health-insurance-1.jpg?id=7274) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_empty_space][vc_row_inner][vc_column_inner][vc_column_text css=&#8221;.vc_custom_1637778293608{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: rgba(0,0,0,0.5) !important;*background-color: rgb(0,0,0) !important;border-radius: 5px !important;}&#8221;] MBSAP HEALTHCARE CLAIMS ADJUDICATION SERVICES Whether it is manual or electronically submitted claims we will scrutinize the claims record to ensure accuracy in patient<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/pages\/5642"}],"collection":[{"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/comments?post=5642"}],"version-history":[{"count":3,"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/pages\/5642\/revisions"}],"predecessor-version":[{"id":7294,"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/pages\/5642\/revisions\/7294"}],"wp:attachment":[{"href":"https:\/\/mbsap.com\/en\/wp-json\/wp\/v2\/media?parent=5642"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}