Effective claims administration is one of the core competencies payers must execute to protect their bottom line and to maintain and improve provider relationships. HighPoint Solutions has a solid record of supplying claims management solutions to health plans serving the Medicare, Medicaid, HMO, Commercial and Federal Health Programs.
We offer a holistic solution that covers all facets of claims management, including:
- Membership Management
- Group Administration
- Marketing Association
- Plans, Products, & Benefit Administration
- Provider Contracting and Reimbursement
- Provider Credentialing
- Authorizations/Utilization Management
- Premium Billing
- Capitation
- Management Reporting
- Public Sector Program Support
- Customer Service