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Health Plan data cleansing and configuration expertise

Over a period of time with multiple edits and fixes Data may morph from its original purpose leading to revenue leakage

Netmark data engineers will help clean the data and reconfigure key areas in the Revenue stream environment to provide accurate payments to Providers.

Delivering core Health Plan Adjudication with Engineering and BPO services

Netmark’s team of configuration experts, Claim processors for pend claims, and other peripheral services including Call center and mail room services make Netmark a one Stop partner for Health Plans and TPAs

Netmark has a deep bench strength and expertise for quick relief in challenging Health Plan environments

Payer Solutions

Stand up adjudication software platforms, reconfigure existing platforms for better performance

Partnering with Adjudication platforms and health plans to plan and operationalize a blueprint for enhanced adjudication and health plan excellence.

Digital Experiences, Call Centers & BPO Operations

Netmark offers a variety of support services for Health plans and TPA’s from adjusters for ped claims to many other services as in audits etc,…

Implementation

Health Plans run a complex business. From MLRs, to regulators to SOX to member retention and the multitudes of specifically tailored plans that health plans…

Data-Driven Solutions

Trust in God…the rest bring data. Health Plans are relying more and more on data to make decisions on configurations, Provider contracts and quality ratings.…

Auto Adjudication of Claims

Adjudication is the raison d'etre of all health plans. Adjudication ensures prompt payments to Providers. Auto adjudication helps automate these payments and makes the healthcare…

About Us

Let’s Build A Great Health Plan Together

Netmark provides a wide range of services to help Health Plans and TPA’s drive innovation, efficiency, and growth

Adjudication software implementation solutions
Partnerships with Adjudication platforms
Technology Integration expertise
Provider Engagement Strategies

Compliance Risk Management
Pend Claims Adjudication
Call Center Operations
Program integrity solutions

why choose us

Partner with Netmark for innovative, reliable, and tailored solutions to health plans and TPAs that drive efficiency, compliance, and impactful outcomes.

Expert Solutions

Netmark has over two decades of experience delivering results-driven Health Plan IT strategies for every client.

Lasting Partnership

Our dedicated team ensures long-term success through continuous support and collaboration with your organization.

Tailored Approach

We provide customized, scalable solutions to ensure your current core system works seamlessly to process claims through the system and providing operational efficiency and satisfaction for providers and members.

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ABOUT COMPANY

Delivering Excellence Through Secure Solutions, That’s Our Commitment

Netmark provides specialized services in data security, compliance, and business efficiency, ensuring your operations run smoothly with industry-leading technology and expertise.

History

Two decades ago, Netmark was founded to deliver exceptional services to Payers and Providers. Since then, Netmark has grown into a niche service provider to Health Plans and TPAs

Mission

Netmark’s mission is to serve Health Plans with high-quality, innovative solutions powered by Focused Managed care expertise, advanced technology, and an unwavering customer focus. We aim to elevate Health Plan efficiency and streamline their delivery processes.

Objective

At Netmark, we focus on providing secure, reliable, and impactful services that enhance client operations. Through our SOC II Type 2 certification and HITRUST Essentials certification, we ensure robust cybersecurity and business efficiency.

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Proven Expertise

Delivering reliable solutions for optimal outcomes.

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OUR TEAM MEMBERS

Meet our team members

Jeff Baltas

Chief Revenue Officer

Dom Diomede

Vice President- Payer Solutions

Sabrina Holman

Netmark HealthRules Configuration Manager

Amber Waid

Provider call center Manager

Chandra Sagili

Hari Ramakrishnan

Rajesh Choudary Mutyala

Technical Project Manager

Karthik Muralidharan

Test Lead

CLIENTS TESTIMONIAL

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CUSTOMERS ARE SEVED

Gurus offers full range of consultancy and training for data consultation strategic

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