Services


EXTENSIVE SYSTEMS AND TECH EXPERIENCE

Superior Health Insurance Claims Processing Services

We provide claims processing on a variable and scalable basis. Through accuracy, flexibility, shared efficiency, as well as communication and service level guarantees built into every contract, we deliver long-term value and savings to clients.


Quality Metrics, Substantial Savings


Bluecard Plans

Assistance throughout the claims lifecycle. Our Inquiry Pro System (IPS) was developed specifically to aid BCBS Plans with the challenges of BlueCard’s rigorous claims lifecycle. IPS provides the capability to streamline workflow and increase productivity, thereby increasing client efficiency and meeting Inter-Plan performance scorecard measurements. Some of the features of this automated system are:

  • Manage Requests for Medical Records
  • Schedule and Track Follow-up by Activity
  • Set Predetermined Auto Escalations
  • Generate Customized Correspondence for Claims Processing

System Conversion

A proven implementation processes. We ensure our client’s system conversions are executed in a proactive, timely, and efficient manner. We connect to the client system via VPN to process claims on the old system as well as the new system, allowing the client’s best examiners to ramp-up while maintaining quality and accuracy standards. System conversion services include:

  • Pre-conversion inventory stabilization
  • Old system run-out and new system run-in
  • Quality assurance and training support

Staff Augmentation

A scalable and targeted staffing approach. Whether the solution is short-term for an urgent business need, or long-term to allow for focus on other strategic activities, leveraging Cobalt MedPlans grants clients the ability to react quickly and augment staff for:

  • Training
  • Temporarily Reassigned Claims Examining Staff
  • Claims Inventory Stabilization
  • Unusual High Turnover


“Working with Cobalt MedPlans allowed us to have a significant boost in our claim processing capacity in relatively short order.  One of our clients grew dramatically and with no advance warning.  We were not able to add staff fast enough to handle the increased workload.  Cobalt MedPlans was able to build a team for us that very quickly helped us start getting control over our claim volumes.”

Bill Ashley, Chief Executive Officer, Allied National