Complete Health Systems: Streamlined Claims Adjudication for Medical, Dental, and Disability Benefits

About Complete Claims

Complete Health Systems (CHS) offers an impressive Claims Adjudication service that stands out in the health benefits administration sector. Their platform is designed with a comprehensive suite of features that cater to a wide range of claims, including medical, dental, vision, and disability claims.

One of the most notable aspects of CHS is their commitment to user-friendly technology. Utilizing Microsoft SQLServer and a Windows front end, the system is both robust and accessible. The auto-adjudication feature, which boasts an impressive accuracy rate of 98-99% for dental claims, is a testament to their advanced processing capabilities. This efficiency is further enhanced by the ability to handle various claim formats, including scanned images and EDI submissions.

Customer service is another area where CHS excels. With a team of experts who have a minimum of 12 years of experience, clients can expect knowledgeable support. The logging of support calls and the ability to track their status online adds an extra layer of transparency and reliability.

The platform's flexibility is also commendable. It allows for unlimited plan setups, easy modifications, and a variety of reporting options through Crystal Reports. This adaptability ensures that organizations can tailor their claims processing to meet specific needs, making it a valuable tool for health benefit administrators.

Moreover, CHS's commitment to compliance with HIPAA regulations ensures that sensitive information is handled securely, which is crucial in today’s healthcare landscape. The inclusion of features like capitation processing and coordination of benefits further demonstrates their comprehensive approach to claims management.

Complete Health Systems provides a powerful, efficient, and user-friendly claims adjudication solution that is backed by exceptional customer service and a commitment to compliance. For organizations looking to streamline their claims processing, CHS is undoubtedly a top choice.