StanSource Inc. - A Standard Source for all your IT Services and Solutions.

StanSource insure has been a pioneer in the claims processing outsourcing. StanSource has proven demonstratable experience in offering Insurance Claims Processing services. The key attraction for our customers has been our quality (we offer a 99% + quality on a claim level) and the turnaround time (we work 24x7 and are able to compress the Medical claims Processing cycle). We have experienced professionals who do claims and health plans processing and analysis leading to claim validation and benefits assignment. Our experience has given us the knowledge and credentials to take us value added areas in claim processing.

StanSource processes among others the following types of claims.

HCFA Processing - HCFA1500
UB92/Uniform Billing/HCFA1450
Dental
Miscellaneous (Complex / Non Standard)
Pends / Correspondence
Vision

As a payer organization, it is imperative for you to increase your health insurance claims processing automation and reduce administrative costs. Healthcare Outsourcing and accuracy in health insurance claims processing are the key elements to improving your turn-around time and claims throughput.

We target and manage core processing cost drivers and generate significant financial improvements for your organization's overall plan performance. Our health insurance claims processing services are driven by transactional efficiency. Our services help you achieve maximum automation of your manual claims resolution processes. They support new products and services, leverage your existing legacy system infrastructure, and also comply with the HIPAA mandated regulations for administrative simplification.

We bring you a whole variety of health insurance claims processing solutions to help you manage your claims efficiently. We bring our vast experience of working with healthcare payer claims systems across a variety of technologies.

Our IT/Process outsourcing solutions ensure cost and advanced process engineering savings that are critical to healthcare outsourcing and claims management functions and processes. We provide an Integrated IT/ BPO Solution for claims management through which we develop and manage your claims technology platform.
We work seamlessly to leverage our technology strengths in managing health insurance claims processing.
Our services strive towards complete implementation of automated end-to-end process flows until the claim is successfully resolved. These services include:
1. Pre-adjudication
2. System routing
3. Pricing
4. Pend resolution and adjudication system response
5. Development of workflows for planning
6. Tracking manual interventions
Drawing on our vast experience with leading payer organizations, we offer you strategic solutions to merge all the adjudication engines into a single health insurance claims processing system. Our solutions help your business achieve uniformity and integrity, and have significantly reduced system maintenance costs.
We can enhance your system capabilities to meet the latest policy/ legislative regulations, increasing systemic capability to handle more system lines. This results in better co-ordination of your claims payments. Our services can increase systemic capacity to trap claim edits. We can apply uniform code-sets across multiple systems, enforce HIPAA privacy and security compliance or enhance the capabilities of your systems to process new products.
We bring complete expertise of business rules for adjudication processes and familiarity with industry practices. Our experience base spans across a variety of claims such as Individual physician, Institutional, behavioral health, pharmacy and dental.
We help you handle all functionalities such as payment to providers, generation of EOBs and EPPs, integration with authorization engine, response to claim status Inquiry and development of claim remittance advice.