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claimsprocessing

Our team of professional doctors provides its clients a comprehensive claims processing solution that covers all stages of the processing cycle starting from receiving claims from providers and/or members to remitting payments to the concerned claimants.

Pentacare Medical Services manages direct and reimbursement claims processing functions including application of cost containment techniques, adjustments relating to the coverage conditions of each member, claim burden attribution to insurer / priority payer / policy holder, issuance of payment bordereau and explanation of benefits, reconciliation with providers.

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