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Claims Processing Services

SourceHOV Claims Processing Services has over 25 years of industry experience and receive over 600,000 claims each day which are processed through our own proprietary technology platforms which offer our clients the most streamlined workflows and deliver some of the industry’s most accurate, secure and accelerated turnaround times.

  • 25+ years of experience with complex claims processing
  • Over 600,000 claims received each day
  • Proprietary technology platforms
  • Millions of business rules incorporated into our technology  platform
  • 27 different claim types processed; from simple to complex super bills

All these skills and capabilities allow SourceHOV to deliver some of the best performance metrics in the industry and in support of our Payer clients including:

  • Same Day turn-around time (TAT)  and accuracy  >99%;  often in less than 12 hours
  • Early claims status view – less than 24 hours from claim receipt
  • High auto-adjudication rate for paper claims – average  70%+
  • Reduced claims payment cycle to 24 hours from the initial 48 hours
  • Claims payment – averages less than 10 business days
  • Up to 50% reduction claims payment cycle time
  • Claims paid in first submission improved by 10%
  • Claims resolution rate at 98%, significantly above industry average
  • Up to 60% Reduction in Member Not Found (MNF) cases
  • Real time online reporting