Business Process Services | Claims Management | Subrogation | Overpayment Recovery | Coordination of Benefits

Capabilities

With resources tight and a constant eye on the bottom line, healthcare payers are looking for ways to minimize cost and maximize productivity.

SCIOinspire offers an array of business process services, applying our experience, expertise and exceptionally high standards to your operational and delivery challenges. Specializing in end-to-end services, SCIOinspire supports your efforts to reduce the level of financial and human resources dedicated to internal cost centers, such as:

Mailroom and fulfillment – offering both onshore and offshore delivery centers, depending on client preference
Care management member outreach – including enrollment, client-specific educational materials and promotions, and multi-channel communication options (Web-based, paper and phone)
Analytics-specific dashboards
Claims processing and adjudication – filtering claims through client-specific edits engines and dramatically reducing the volume claims paid in error (due to medical necessity, incorrect coding or modifier use, third-party liabilities, duplicate submissions, etc.)
Claims quality control – ensuring that disbursements are correct, to stop revenue leakage and recover overpayments quickly