Every Aspect of the Case From Start to Finish

Simpluris Specialty
Legal Services

Claims Processing

Exactness Equals Savings

Our LiveCase™ claims processing engine provides a highly detailed claims data entry procedure for our processing centers. This process has been refined year after year to become the most constant and controlled data capture software system in the industry, preventing errors and omissions before they occur, and reinforcing a standard of excellence and accuracy. Every claim received is processed and audited at multiple stages for exactness, in turn, bringing claims administration savings to the case. Responses are processed as standard claims, post-cards, opt-outs, verification forms, surveys and any other type of reply form imaginable. Our accurate and efficient processing system provides cost effective case administration for of all your cases.

We Break It Down For Simplicity and Accuracy

All submissions are processed and tracked as valid, invalid, disputing and deficient. Pending claims are handled and monitored until cleared as valid or invalid. With LiveCase™ , all claims are expressly marked showing claim status. All aspects of a submission can be reported, from the post mark or fax submission date to the indiscriminate class member notes on a submission form.

Get It When You Need It

Your time is money, don’t spend it waiting. Simply log in to LiveCase™, select the case and click the reporting tab. With instant access select from a variety of reports that provide real time figures. If the report is not answering all of your needs, do not hesitate to contact your case manager and make requests. It is our goal to provide, to approved parties, all reasonable information in formats that are most valuable to you. Your input is greatly appreciated.

Claims Processing Proposal

We’d love to hop on a call and talk through the details of your claims processing case or needs.

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