Healthcare Staffing
At Conflux Systems, our Claims Processing services are crafted to help clients make accurate and informed payment decisions while significantly reducing medical and pharmacy costs. With robust partnerships across national, regional, and local provider networks (PPO), we ensure seamless claim routing, whether through electronic data, custom applications, or spreadsheet fee schedules. Our services include pharmacy, medical, specialty, and hospital bill reviews, nurse audits, provider negotiations, PPO and specialty network management, Medicare Set Aside (MSA) administration, and settlement support. This comprehensive approach ensures precision, transparency, and efficiency in claims handling.
By partnering with us, clients can streamline their operations, reduce errors, and accelerate their digital transformation journey. Our focus on enhancing operational efficiencies and providing world-class support empowers organizations to adapt to evolving challenges in claims management. With our expertise, businesses can achieve greater cost control, operational agility, and improved outcomes, ensuring a seamless experience for all stakeholders involved in the claims process.