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healthcare healthcare
healthcare Healthcare         Overview
Marquee Clients
Fortune 100 healthcare company
Fortune 50 healthcare company
Two of the largest Blue Cross Blue
Shield companies
One of the largest urban community
healthcare companies
Leading US pharmaceutical support
organization
Major US health plan management
company

Firstsource Solutions is a leading global provider of innovative, high quality BPO
solutions for healthcare payer services. Our proprietary claims platform and
knowledge of leading systems for payer services operations, make us the ideal
partner for healthcare organizations looking for accurate and innovative BPO
solutions.

Firstsource has employees across two continents that leverage best in class
training and technology, while adhering to regulatory requirements, to deliver
results that exceed our clients’ expectations. We offer solutions that reduce costs,
increase profits and dramatically increase member, patient and physician
satisfaction.

Firstsource’s healthcare services are provided through a blended model, leveraging
offshore costs with domestic functional expertise
.

Our partnership with
Firstsource provides us the
flexibility we need to adapt
quickly to dynamic changes in
claims processing volume."


VP Operations – One of the
largest US third-party
administrators
Payer Service Footprint
Firstsource delivers transaction processing solutions for claims administration, adjudication and member services.
With award winning process excellence programs, Firstsource ensures that payers can reduce administrative costs and
resolve operational variations while maximizing performance and customer satisfaction.

Our BPO solutions include the complete spectrum of health plan administration functions, whether using the client’s
current technology platform or our proprietary claims platform.

These services include:
Mail opening
Preparation
Sorting
Scanning
E-sorting
Indexing
Reject handling
Printing
Creating electronic
transactions from paper
claims to sigma level quality
ANSI 837, 835, NSF
EDI, EFT
Provider enrollment and
credentialing
Membership enrollment and maintenance
Claims processing and
adjudication
Provider services
Membership services
Co-ordination of benefits
 
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