PAYERs / TPAs / MAOs SERVICES
“Cost-effective and Reliable Claims Administration Services for Health Insurance companies.”
A surge in healthcare enrollment has occurred due to the Affordable Care Act. This has caused an increase in both high-risk consumers and an aging healthcare population. As a result, payers must process more claims than ever before. By aligning payers and service providers, Augustus HCS helps ensure smoother claims processing and a reduction in overall operating costs.
In an evolving and ever-changing healthcare industry, Augustus HCS provides payers with more strategic choices for greater competitiveness. Augustus HCS helps insurers meet the demand for special skills, increase speed to market for extended offerings, and trim administrative costs. Augustus HCS also helps raise accuracy in adjudicating claims and the exchange of information throughout your organization. Augustus HCS offers services in configuration, front-end, claims administration and adjudication, enrollment and billing. With easy adaptable delivery models, payers use Augustus HCS’s value add services either continuously or on demand by working with onsite and/or offshore professionals.
Many of our clients have achieved cost reductions of as much as 30 percent in process related services and 10 percent in overall administrative services.