OADA IT SERVICES is a forward-thinking software development company committed to delivering cutting-edge digital solutions that empower businesses.

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Claims Management

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Claims Management

At OADA IT SERVICES, we offer reliable and efficient Claims Management services for healthcare payers, ensuring fast, accurate, and compliant processing of medical claims. Our solutions streamline the entire claims lifecycle—from initial submission to adjudication and settlement—reducing administrative overhead, minimizing errors, and accelerating reimbursements. With deep domain knowledge and advanced automation tools, we help payers manage high volumes of claims while maintaining data accuracy and regulatory compliance.

We work closely with insurers, TPAs, and government payers to improve claims workflows, enhance member satisfaction, and reduce claim denials. Our services are built on secure systems and industry best practices, ensuring transparency, operational efficiency, and timely resolution of claims to support the financial health of healthcare plans.

We capture, digitize, and validate claims data from multiple sources, ensuring completeness and eligibility before processing begins.

Our team applies payer rules, benefit policies, and coding logic to review and adjudicate claims accurately, identifying duplicates, errors, or discrepancies.

We investigate denied claims, determine root causes, and manage resubmissions and appeals to recover lost revenue and reduce rejections.

We handle timely claim payments, remittance generation, and provide detailed financial and compliance reports for internal audits and payer oversight.

HealthCare Payer

Claims Management Medical Coding Management Member Management Provider Network Management Value Added Service