Claims Management

Logic Square specializes in process improvement to enhance revenue and streamline operations. For payers, our claims BPM and KPM services lead to significant reductions in cost and TAT (turnaround time) through integrated process redesign and technological innovations. Our paper to EDI conversion, combined with repricing and our rule-based auto adjudication support services, help payer clients further cut down on costs.

Maximizing accuracy at every point in the claims payment process is essential if payers are to compete. Our deep understanding and evaluation methodology of medical claims and contracts enable payers to save money through the identification of overpaid claims. By utilizing our payer assistance services, Logic Square is able to enhance accuracy and drive revenue for our clients.

  • Claims Conversion
  • Claims Adjudication Support
  • Pre-Adjudication Support
  • Claims Repricing
  • EDI 5010