BPO Clientele

We support Third party Administrators and Self Insured Groups in the bills data entry process and Adjudication

Bill Data Entry

Medical and Hospital bills are entered in a pre-formatted excel sheet. KGS has developed an in-house data conversion tool through which the output is converted before the delivery. Kinds of bills processed are Physician, Hospital and Workers Compensation.

Bill Adjudication

Both Hospitals and physician bills are validated in a Citrix based application and the final payment is disbursed to the providers.

Here the charges within each bill are compared with a robust database that gives a fair disbursement amount against the one charged by the Medical facility. We provide Custom client-specific and automated rules processing services for all kinds of bills.