Our Services

Our primary goal at On Demand Claim Services is to gain positive results for our clients. We do that by making certain that our staff is well versed in the various benefit plans that must be administered. These services include:

UTILIZATION REVIEW
CASE MANAGEMENT
PRE-AUTHORIZATION
MEDICARE AND MEDICAID GUIDELINES
BEHAVORIAL HEALTH BENEFITS
HEALTH CARE PRODUCTS
DRG PRICING
COBRA
RX PLANS
SELF FUNDED GROUPS
HIPAA COMPLIANCE
PROVIDER MAINTENANCE
NPI DATA BASE
COMMERICAL CARRIERS
SYSTEM AUDITS
ADVANCED TECHNOLOGY FOR AUTOMATED PROCESSING
STATE MANDATES
TRAINING

On Demand Claim Services analyze 100% of medical and facility claims according to the contract summary plan document and industry standards. For hospital claims we perform a line by line audit to assure accuracy in DRG payments which prevents overpayments.