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Peace of mind comes from knowing that your personal information is handled with the utmost care. MedBen receives over 100,000 claims per month, so it’s essential to have proven quality procedures in place. That’s why every aspect of our claims processing operations, from transmission to payment, strictly follows established company standards to ensure efficiency, accuracy and security. Our claims system is automated and fully integrated with both our customer service and administrative systems. This allows our staff to track customer claims and correspondence from any department, at any point in time. The system also automatically “flags“ incomplete claims or those that require review from a claims examiners. “Clean” claims – those that do not require examiner appraisal – are frequently processed with little or no employee involvement. The MedBen Claims Department is comprised of two distinct operations for claims submission and claims production. Claims submission consists of claims delivery, coding and imaging, data entry, pricing and auditing. Claim production encompasses the processing component, including automated system review and/or examiner review, and payment or denial. |
