Claims Management
ACM has been providing full Claims Management services for international clients for over a decade. We provide Claims Administration services for Group Medical, Emergency Travel
and Employer/Government Disability plan specifications. All facets of the claim management episode is conducted and managed internally.
ACM’s proprietary claims management software program has been developed on a web based platform to compliment our Case Management / Claims Re-pricing systems.
Our advanced technology solutions allow medical providers and third party administrators to access and view data in real time subject to privacy laws and consent. This same privilege is extended to our clients through a customization of data information need.
A full claims management analysis can be coordinated upon request; this review would include procedures, practices and system overview. Following are highlights of ACM’s Claims Management features:
- Group, Emergency Travel and Disability Adjudication
- Timely Pre-exit validation
- Over 99% Processing accuracy
- Direct Check issue
- Direct Benefit explanation to clients and employers
- Over 15 languages spoken by our staff
- Immediate access to over one hundred languages
- Quality Control- daily audits of claims examiners
- 95% of complete claims processed are paid within 7 business days
- All benefit design requests can be programmed e.g. vision, wellness benefits
- System designed to manage and process International claims
- International Expertise - extensive knowledge of cultural and medical standard differences
- Claims translated and paid in any currency
- Assign ICD-9/CPT-4 codes to facilitate the blend of US and international claims
- Unique Canadian GHIP claims/ medical information integration
For more information on ACM’s Claims Management/Administration please contact us at 1.800.572.0198 or email info@active-care.ca.