We offer the following services:
§ Claims Processing
§ Claims Adjudication
§ Claims Repricing

ISS is a leader in the field of health insurance claims processing, repricing and adjudication. Our claims processing services include keying from image/paper as well as data validation / OCR correction for HCFA 1500, UB92 and Dental forms including reds, blacks, non-standard and repriced claims. Our normal turnaround time (TAT) is 24 hours, but can be even lower on specific cases.

ISS can be your preferred destination for all these:

§ Guaranteed Turn-around Times
§ Guaranteed Data Quality
§ Guaranteed Service Levels
§ Guaranteed Data Security
§ Guaranteed Reliability
§ Reduced Processing Time
§ Reduced Costs
§ Increased Profits
§ Improved Customer Satisfaction
§ Assured HIPAA compliance

We process forms such as
§ HCFA 1500
§ UB92s
§ Dentals

Majority of these claims are OCR - read claims, which require data validation and quality control. We follow the 2-Tier concept, i.e., every data is entered simultaneously by two keyers and our in-house software compares the two claims and in case of deviation, identifies the mistakes. and a QA operator corrects and again verifies the accuracy of the fields. The accuracy level in the project is 99.995% for critical fields and 99% for the non-critical fields. We guarantee for both Field and Character accuracy.
In addition to the OCR - read claims, we also process thousands of non-standard claims, repriced claims as well as black HCFAs / UBs and red HCFAs / UBs. The claims are transmitted by our client at the end of his business day, processed during the day at our center and sent back before client's office opens for the business the next day.