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Healthcare
Netmark is a healthcare business specializes in several areas. We primarily act as examiners and adjudicators for health plans and Third Party Administrators (TPAs) by evaluating claims for payment, denial, or rejection on behalf of the health plan. This is a critical responsibility that requires a high level of attention and diligence.
Netmark also works closely with large Revenue Cycle Management (RCM) companies and hospitals, providing comprehensive RCM services that span from claim filing to collections and payments posting. This is important for healthcare providers and hospitals, as the flow of revenue is vital for their operations. Netmark believes that healthcare providers should focus on providing care to patients while we can handle the business aspects of healthcare.
In addition, Netmark’s data conversion teams have experience working with the pharmaceutical industry, converting research data on new drugs and treatments into actionable information. Furthermore, during the COVID-19 pandemic, Netmark assisted labs in processing COVID test data efficiently, helping infected individuals to isolate, and played a small yet significant role in containing the spread of the virus.
Medico-Legal
The services include medical record review, case analysis, expert witness testimony, and other related services to support legal cases. The specific services offered by Netmark Business Services may vary, but they typically involve providing medical expertise to attorneys, insurance companies, and other legal professionals to help them understand and present medical evidence in legal proceedings.
Account Data Management
The services include medical record review, case analysis, expert witness testimony, and other related services to support legal cases. These services would likely involve managing and organizing financial data, such as invoices, receipts, and other financial records, to ensure that they are accurate, up-to-date, and in compliance with relevant accounting standards and regulations. This could include bookkeeping, financial analysis, and the preparation of financial statements. Additionally, Netmark Services also provides data management solutions for accounting software and other financial systems, helping businesses to automate and streamline their financial processes.
Overall, Accounting data management services by Netmark Services can help businesses of all sizes to organize, understand, and make the most of their financial data, which in turn can help them to be more efficient, profitable, and compliant.
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Frequently Asked Questions
Netmark prides itself on its deep expertise on multiple platforms like QNXT, AMISYS, FACETS, HSP among others. Netmark’s bench of expert examiners and appeal experts can truly help reduce claim inventory substantially in a matter of days.
All software pend a deny a percentage of claims while auto adjudicating a majority of claims. Backlogs and appeals are inevitable. Processing appeals are expensive as only the smartest and most experienced examiners can work on appeals. Netmark can offer extremely experienced appeal processors and offers a per-appeal processed price that helps the claims processing department stay within or under budget. Give us a call or email us at [email protected] for a quick conversation.
All software pend a deny a percentage of claims while auto adjudicating a majority of claims We offer…
Provider call centers manned by experienced adjudicators with knowledge of navigating complex adjudicating software
Experienced retired claim directors who can act as a SWAT team to handle any complex claims issue
Plan configuration – Am experienced team of claim configurators who can work with your actuaries and configure
