How IT Works

Provider

  • Medical Coding & Audit
  • Claim Submission
  • Lockbox / Payment management
  • Credential Management
  • Revenue Integrity | Contract
  • Management | Underpayment
  • 3rd Party/Bad Debt Collections

Member

  • Quote to Card
  • Claim/Document Submission
  • Payments

Health Plan

  • Member Enrollment
  • Healthcare Exchanges
  • Provider Data Management
  • Claims Processing
  • Adjudication
  • Payments | Overpayment Analytics
  • Contract modeling

Provider

  • Medical Coding & Audit
  • Claim Submission
  • Lockbox / Payment management
  • Credential Management
  • Revenue Integrity | Contract
  • Management | Underpayment
  • 3rd Party/Bad Debt Collections

Health Plan

  • Member Enrollment
  • Healthcare Exchanges
  • Provider Data Management
  • Claims Processing
  • Adjudication
  • Payments | Overpayment Analytics
  • Contract modeling

Member

  • Quote to Card
  • Claim/Document Submission
  • Payments

ABOUT HEALTHCARE MEMBERS

Members can connect to Payers and Providers for their healthcare need through PCH. Benefits to Members include simplifying enrollment in health plans, through our exclusive portal PCG, and submitting claims and other documents related to claim.

17

Top US
payers

15

US Hospital
Clients

500+

Hospitals
rely on us

SECURITY & COMPLIANCE

HIPAA | PCI |GLBA | NARA | SOX| FISMA | NIST |
ADGI | FIPS| SSAE16 | AHIMA | FDCPA

Healthcare VALUE ENHANCERS

Portal connecting Payer, provider, member

Streamline payer process and provide optimum outcome in each of their area

More efficient in provider space to reduce administrative cost

Integrated unified communication channel help communicate through multiple platforms

Highly scalable

Follow health care standards and compliance to ensure security

Offshore and on shore delivery model to leverage global workforce

Increase in payer/provider/ member satisfaction

  • Live Support

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