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Healthcare Claims Processing
We offer highly flexible claims
processing solutions to meet the needs
of our customers.
Our innovative claims processing services cover the entire
range of possible service options from simple front-end claims
data capture to full, end-to-end claims processing as a
component of complete benefit plan administration.
Xerox has extensive knowledge and expertise and handles over
one billion healthcare claims each year. All of our claims processing
services are technology-neutral. Our solutions utilize a combination
of proprietary and client tools to create a system customized to
meet the needs of each health plan. Our clients may designate the
application platforms and provide secure access into their
processing environment. Many of our clients work within a multi-
application environment. We will analyze the enterprise and
provide automation tools and implement our internally developed
applications where appropriate to help optimize each client’s
claims processing systems.
©2014 Xerox Corporation. All rights reserved. Xerox® and Xerox and Design® are trademarks of
Xerox Corporation in the United States and/or other countries. BR11086
Reduce costs and improve quality with a single vendor.
Our Claims Processing Services
A great customer experience isn’t a one-time thing. Your
customers expect great things at every touch point. We provide
services to manage all correspondence and documentation
relating to claims. We integrate inbound and outbound
communications to ensure you’ll exceed their expectations each
and every time.
We can help you reduce costs and improve quality with multiple
services from a single, high-quality outsourcing vendor.
Customers expect fast, consistent help when they reach out to
your contact center or self-service platform and want
personalized communications with engaging, relevant
information.
We deliver custom digital, print and mail, eDelivery, Web, and
voice campaigns to help you communicate your message to
many, but speak individually. This can only happen when back-
end support platforms are synchronized with front-end
communications. Our portfolio of services can be deployed in
multiple configurations to meet all of our claims processing
needs. We offer:
• Adjustment processing
• Benefits administration
• Claim suspend resolution
• Coordination of Benefits (COB)
• Data validation
• Eligibility determination
• Medical and network management
• Payment processing
• Pricing / reimbursement
• Utilization management
For more information, visit www.xerox.com.
Capabilities
Our strong capabilities provide for an ever growing number of
outsourced services. Our payment services are a part of an
integrated suite of transactional services which support claims
processing solutions and provide for:
• Cash management
• Check processing
• Credit/debit card processing
• Clearinghouse services
• Electronic balance and fund transfer