Claims Payment Software

AmeriBen's claims paying software is among the most advanced available. Using a DEC Alpha multiprocessor file server, claims are processed quickly and accurately. The system features "auto quote, auto adjudication." Many key functions, where manual processing generates costly errors, are automated:

  • Duplicate checks
  • Ineligible services
  • Procedures billed against the coded diagnosis
  • Coverage eligibility
  • Pre-existing conditions
  • Usual and customary criteria
  • Tracking benefit year deductible
  • Calculating appropriate co-insurance levels
  • Tracking lifetime maximum
  • Tracking coordination of benefits
  • Calculating COB claim payment
 

Feel free to contact us about our service anytime by e-mail at info@ameriben.com or call toll free at 1-800-786-7930

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