Claim Adjudication

Save Time & Money with Seamless Claim Adjustment Services

It’s hard to maneuver payer and regulatory obligations. The infrastructure required to increase your quality and eliminate errors might be pricey, making individual practice impractical.

At W3medcare, our dedicated team of certified and experienced billers ensures that the claims are submitted electronically. Paper can be used as an insurance requirement within a 24-hour window to the clearing house or insurance. With our purpose-driven approach and modern set of technologies, you can expect all clearing house rejections to be resubmitted on the same day.

    Explore Our Medical Claim Adjustment Solutions

    Determination of Claims Value

    We will thoroughly assess the submitted claims to ensure that the dental claim value submitted matches the rates of service levels.

    Verification of Unprocessed Claims Data

    We’ll examine your raw claims data to guarantee that the coding is valid and that no errors were made inadvertently throughout the coding process.

    Duplicate Claim Investigation

    We’ll find claims data duplication that could prohibit the provider from collecting the full payment from the insurer.

    Evaluation of Provider Details

    We look at provider information to see if they’re affiliated with the insurer and if they’re licensed to work under the insurer’s rules.

    Determination of benefits

    We’ll look at the claims to see if the EOB sections are correct or need to be updated.

    Eligibility Verification

    We will check if the patent that availed of the treatment was eligible for the dental procedure.

    Diagnostic Code and Patient Data Review

    The diagnostic codes and patient data are thoroughly verified to ensure it is 100% accurate and error-free.

    Dental Claims Validation for Fraud Detection

    We have detectives who have discovered premeditated overbilling attempts. They make sure that claims aren’t falsified in order to get more money than the provider is entitled to.

    Why Choose Us?

    We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

    Customer Experience

    We always believe in putting our customers at the forefront to ensure complete customer satisfaction at every stage.

    Competitive Pricing

    We offer top Medical Billing software at competitive prices that perfectly meet your unique healthcare requirements.

    Skilled Team

    We have a highly skilled team of software experts and professionals with excellent technical knowledge and experience in using the latest healthcare software standards in the medical industry.

    Performance Tracking

    Our dedicated RCM solutions provide unparalleled monitoring and tracking of your healthcare statistics, including patients’ and doctors’ records and insights. 

    Let’s Streamline Your Claim Adjustment Solutions

    Get in touch with us now for the best claims adjudication services that help you run your healthcare practice better.