Whether it be 834 intake processing, manual adds, updates or terminations, JND’s experienced Healthcare team can manage processing and reporting on a daily, monthly and quarterly basis as well as open enrollment periods.
Let JND’s experienced teams manage the Provider set-up and their Contract management process for you, so you can focus on building better Provider relationships.
JND provide efficient processing of all paper claims, electronic medical insurance claim forms (via 837), including UB-04, HCFA-1500, and dental claim forms, whilst processing any and all pending claims.
JND’s claims personnel strategically resolve appeals and distribute acknowledgement and decision letters back to the Providers in a timely manner and recognize appeals regulations. Claims adjustments are processed as necessary based on appeals resolution.
JND’s healthcare team helps clients protect their cost management plan by working to determine if another party is responsible for covered medical treatment, and if confirmed, JND will finalize the health insurance claims recovery process.
JND’s financial staff is well versed in premium billing (invoicing) and posting payments for all lines of business – Commercial, Medicare, TPA, etc. Let JND manage this financial process so that you can focus on health care and your members.
Health care regulations require that all health plans report multiple sectors of data to either a government agency, an external vendor (ie; Rx), Employer groups or internal reporting for operational strategy. JND has the knowledge and capabilities to develop, implement or generate accurate reporting for all your needs.
Acting as a third-party service provider, JND has the capability to process 835 payment files, enrollment fulfillment (ID cards) as well as printing and mailing.
It is very common that Health Plans struggle with erroneous, unorganized provider and member data that requires an initial cleanup project. JND regularly provides this service to our clients so they can feel confident in trusting their data, including encounter data.
Is your system generating a large volume of claim edits? Are claims not pricing or paying correctly as expected? JND can provide consulting services and assess the issues, to determine a resolution and perform configuration, as well as any training needs.
JND’s Healthcare Solutions personnel can assist your organization in achieving operational stability by assessing the daily processes, training needs and systems analysis.