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HEALTHCARE


Electronic Medical Claims Processing

Horizontech, Inc. drives better control, accuracy, transparency and cost efficiencies by automating the lifecycle of Electronic Medical Claims Processing. Our customers require a HIPAA compliant, flexible, accurate, timely and cost effective solution to the numerous paper and resource intensive processes required for adjudication.


Our BPO platforms include mailroom services, document scanning, OCR assisted and KFI data capture, image storage and retrieval services, secure document storage and certified secure document destruction. We convert HCFA, UB and ADA claims from paper or image and provide a HIPAA compliant 837 file or any proprietary file format.


  • Web-based image storage and retrieval
  • Image-based processing
  • Experts at Indexing and Data Entry, with quality to 99.9%
  • Accuracy rates averaging over 99.5% for all projects regardless of customer requirements
  • Single Entry, Sight Verification, Blind Verification and Double Keying
  • Global Onshore and Offshore networked company owned facilities
  • Scan at our location(s) or on-site at your location(s)
  • Cloud Computing
  • EDI Clearinghouse, re-pricing and pre-adjudication

 


 

 


Our proprietary XperTran® software platform reduces your HCFA, UB and ADA claims processing costs immediately by up to 50% and delivers in excess of 99.5% data accuracy, ANSI 837-4010 A1 format and unsurpassed customer service.


Our solution combines the latest OCR technology, web-based production reporting , web-based image storage and retrieval and years of claims processing experience to deliver immediate improvements over your current health care claims platform:


  • Significantly reduce data quality errors, turnaround times and costs per claim
  • Image enable your customer service operations
  • Scalability without increasing overhead
  • HIPAA compliant formats and data security
  • Bar Coding drives integrity
  • Ability to incorporate data base table lookups for increased auto-adjudication rates
  • Flexibility to change processing rules without incurring lengthy and expensive professional service engagements.

 






 

  • "Horizontech was responsive to our needs and we would recommend them for your processing needs."
    - Chief Information Officer - US Retirement & Health Benefit Services organization


  • "I still can't believe what you've done in such a short period of time. It would have taken us a staff of well over a
    hundred people to do what you have done in minutes. This is unbelievable, we're already telling everyone in the
    financial services industry about your solution."- SVP Admin. - Financial Services & Retirement Planning Company


  • "They had the system up and running when we needed it and to date have completed the work in a
    timely fashion with data indexing accuracy over 99.5%."- Vice President Operations - Media & Marketing
    Research Firm


  • "For each project, they have had the system up and running when we needed it and to date have completed the work
    in timely fashion while exceeding the data indexing accuracy we have needed."- Director - National web-based GPO Procurement organization


  • "Horizontech allowed us to outsource the processing while retaining the customer interface."- Associate Consultant - Independent Actuarial and Consulting firm


  • "Have completed the work in a timely fashion while making adjustments to the service offering and adding reports as needed, maintaining indexing accuracy over 99.5%."- Director- US Payment Processing Solutions Company


  • "We have researched many companies, and you have the most comprehensive solution and best business
    model in the US."- Director - Document Solutions Company


  • "I've researched companies in your space. There is really no one that does exactly what you provide to the market.
    You are the best solution for this issue."- Manager - Medical Center Procurement


  • "Based on this ongoing concern, we would thoroughly recommend their solutions to anyone that has
    a returned mail issue. The solution was easily implemented, highly effective and is running smoothly."
    - SVP - Property & Casualty Insurer


  • "To date, we have yet to see anyone in the market with the innovation. They are way ahead of any solution
    base in the market and are considered a pioneer and innovator for undeliverable as addressed solutions."
    - VP - Technology Communications Company


  • "I'm speechless, this blows us away."- Director - US Financial Services organization

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