inHEALTH Medical and Disability Claim
Approval Services
Optimizing Recovery Opportunities
inHEALTH’s Professional Claims and Health Services team provides a range of consulting service solutions to improve the overall management of accident benefit claims.
inHEALTH delivers complete, accurate claim information to insurance and health organizations based on a proven best practice methodology and a sophisticated rules engine, to streamline the business process for medical and disability approval management.
inHEALTH Professional Claims and Health Services provide:
provides organizations with AB case management beyond traditional services, leveraging the core component of inHEALTH decision support workflow. Each claim approval is guided by outcome factors against specific individual claimant’s intake and claim form data, enabling a consistent and systematic approval response. Organizations can customize workflow messages to meet their unique service needs. inForm is available with the following options:
- inForm Report Services - inHEALTH’s services team provides users with a summary report outlining the status of individual’s claims.
- inForm Claim Services - inHEALTH’s services team leverages the decision support solution to manage part or the complete end to end AB medical and disability claims process, while providing organizations with both transparency and reporting.
is a value added component offered as a part of inHEALTH’s Professional Claims and Health Services. inTake streamlines the claim assignment and claimant contact process, enabling clients to improve quality of communications and provide faster service levels to their claimants. Contact us for a Trail offer.
inHEALTH Consulting
With over 30 years of experience in AB claims management, inHEALTH’s professionals offer clients mentoring and thought leadership around AB claims business architecture, opportunity identification and business case development. Whether leveraging inHEALTH’s solution to gather metrics or assessment methodology clients are able to benefit from the expertise of the inHEALTH team to keep pace with the changing regulatory environment and their growing customer needs.
inHEALTH Education Programs
As claims become more complex, insurance organizations find it essential to develop and retain a range of highly skilled service specialists who can meet consumer expectations while balancing regulatory requirements. These in-demand skills have created learning and development challenges like never before. inHEALTH Education Programs and accelerated learning enables participants to immediately apply what they have learned and having a material impact on the day to day management of their claims. The inHEALTH team provides instruction on:
- Case Management and claim verification;
- Interpretation of medical definitions, recovery times and clinical reports: and
- Development of negotiation plans for stronger communication with healthcare providers
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