Netmark Services leads healthcare technology innovation with its team of industry experts. We combine deep healthcare knowledge with cutting-edge digital solutions, partnering with clients to revolutionize healthcare delivery and experiences.
With over two decades in the healthcare we have shaped our mastery of the industry. From paper-based operations to AI-driven automation, we’ve led every transformation, delivering solutions that keep health plans ahead in this digital age.
Netmark Services leads healthcare technology innovation with its team of industry experts. We combine deep healthcare knowledge with cutting-edge digital solutions, partnering with clients to revolutionize healthcare delivery and experiences.
With over two decades in the healthcare we have shaped our mastery of the industry. From paper-based operations to AI-driven automation, we’ve led every transformation, delivering solutions that keep health plans ahead in this digital age.
Healthcare Solutions
Data Driven Solutions
Software Implementations
Digital Experiences
We are building future Together, Come with us
Netmark provides a wide range of services to help Health Plans and TPA’s drive innovation, efficiency, and growth
Partner with Netmark for innovative, reliable, and tailored solutions to Health plans and TPAs
Netmark Services offers full range of Consulting, Implementation, Operations and support for Health Plans.
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Adjudication software implementation solutions
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Partnerships with Adjudication platforms
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Development Expertise
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Provider Data Clean up Frameworks
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Provider & Member Management
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Compliance Risk Management
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Pend Claims Adjudication
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Call Center Operations
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Program integrity solutions
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Configuration & Benefit Administration
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Back Office Operations
Configuration & Benefit Administration
Ensure seamless setup and management of benefit plans, pricing structures, and claims processing rules. Automate contract administration, fee schedules, and external claims editing to improve accuracy and compliance.
Provider & Member Management
Ensure seamless coordination between providers and members with automated credentialing, enrollment, and eligibility verification. Improve operational efficiency with streamlined contract management, PCP assignments, and communication tools.
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Provider Credentialing & Network Management – Automate credentialing, contract administration, and network optimization.
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Member Enrollment & Eligibility Verification – Ensure accurate member onboarding and real-time eligibility validation.
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PCP Assignments & ID Card Fulfillment – Assign primary care providers efficiently and manage ID card distribution.
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Automated Correspondence & Demographic Updates – Streamline communication and maintain up-to-date member and provider records.
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Regulatory Compliance & Audit Readiness – Ensure adherence to industry standards with automated compliance tracking.
Back-Office Operations
Enhance efficiency and accuracy with streamlined customer service, financial management, and reporting solutions. Automate workflows, optimize financial transactions, and ensure compliance with real-time insights and data-driven decision-making.
Omnichannel Customer Support
Automated Workflow & Ticketing
Claims Payment Processing
Premium Billing & Collections
Regulatory & Compliance Reporting
Operational & Financial Dashboards
Audit-Ready Financial Management
Seamless Data Integrations
Have questions? We’re here to help!
We typically reply under 24 hours during business days.
Have a view of our amazing projects with our clients
Arnold Corporation’s Digital Campaign
Financial Research For Axis Technology
Product Launch event for Procter and Gamble
New Product Idea Development for Nvana Inc.
Words of appreciation By our amazing clients
John Smith
CEO of Cover Asana Pro Ltd.
Brandon Maxwell
CEO of Urban Crops
Melisa scarlet
CEO of Zendove Corp.Subscribe to get the latest information
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