Tēla Sourcing provides the following business process outsourcing (BPO) services via onshore, offshore, or blended shore delivery models:

 

Claim Administration Services

 
  • Mailroom/Scanning
  • OCR/DE data capture
  • Paper to EDI conversion
  • PPO routing
  • Repricing
  • Claim adjudication, online or offline
  • Platform knowledge includes RIMS, QNXT, FACETS, QicLink, Claimfacts, LuminX, WLT, FACTS, MC400, EZCap
 

Provider Network Development & Management

  • Credentialing support
  • Provider record/database setup and maintenance
  • Contract setup and maintenance
 

Revenue Cycle Management Services

  • Patient demographics data management
  • Diagnosis/Service coding data entry
  • Charge posting
  • Payment posting
  • Account receivable follow up
  • EOB processing and ANSI 835 conversion
  • EOB/Check printing and mailing
  • Platform knowledge includes Misys Tiger,
    UA Systems CBSI
 

Member Fullfilment Services

 
  • Printing & design services
  • Packaging & assembly
  • Mailing services
  • Online, real time tracking and reporting
  • Services, distribution, and production sites nationwide
 

Specialty Services

  • Member enrollment data entry
  • Dental claim administration
  • Vision claim administration
  • California CHDP claim administration
  • COBRA administration
  • Flexible spending account (FSA and CDHP) administration
  • Defined contribution plan management
  • Medical bill review services
  • Analytics and predictive modeling
  For more information regarding these services or to request a proposal, contact us at sales@tela-usa.com
 
    Services
     
   
 

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All other trademarks are property of their respective owners.
111 S. Calvert Street, 21st Floor, Baltimore, MD 21202 | Off: 410 230 3999 Fax: 410 576 2221