Medical Claims Processing Services

Is your medical claims processing service slow and taking much of your time to clean your claims? Do you need help communicating with the insurer and patients? Our medical claims processing services will assist you in processing your claims on time and avoid denials.


Years of Experience


Industry Verticals


Experienced Professionals

StripMedical Claims Processing Services

Outsource Medical Claims Processing Services to the Expert

We have been delivering customized medical claims processing services since 2000. During these years, we have delivered services with accurate medical billing codes and charges that assist in timely reimbursements. Our services include error-free claims data entry, claims data indexing, validation, claims document imaging, and so on. We have assisted our clients in claims adjudication to Explanation of Benefits (EoBs) to Claims Settlements.

We improve the efficiency and accuracy of your claims by taking them through 20+ checkpoints, where they are verified before getting approved. In addition, we have expertise in delivering claim forms with a reduced denial rate. We achieved this through our understanding of the causes of denials. Clients outsource medical claims processing services to us to get timely reimbursements. This has helped them enhance patient satisfaction and retain their relationships.

Our Medical Claims Processing Process

  • Receive Claims Bills

    Our team receives claims data from the charge entry team.
  • Claim Preparation

    We compile the necessary information, including patient details, provider information, coded services, and supporting documentation, to create a claim.
  • Check Bills

    We check the charge entry details for accuracy and ensure no claim is a duplicate claim.
  • Benefits Determination

    In this step, we validate patient eligibility benefits as per their insurance policy.
  • Cross Check Provider Guidelines

    We verify provider guidelines with respect to coverage and make rule-based edits to ensure every claim is in sync with the guidelines.
  • Claims Submission

    Our team electronically transmits the claim to the appropriate insurance payer for claims reimbursements.

Our Comprehensive Medical Claims Processing Services

No items found.
  • Medical Claim Data Entry
  • Data Processing of All Medical Insurance Claim Forms, Including UB-04, HCFA, CMS-1500, UB92, Dental Claims Forms
  • Medical Claim Data Indexing / Extraction and Archiving
  • Medical Claim Data Validation
  • Provider And Member Data Maintenance And Cleansing
  • Medical Claims Administration Support Services
  • Medical Claim-Related Finance and Accounting (BPO) Services (Billing, Accounts Payable Management Etc.)

Request a Quote

Benefits of Our Outsourcing Services

Clean and Accurate Claims

Our healthcare claims processing BPO services review every claim form to verify it is accurate and error-free. This ensures that they pass the clearinghouse on the first go.

Reduced Denial Rate

We validate your medical claims through multiple checks to ensure the quality and reduce the denial rate.

Advanced tools

Our services use medical claims processing software such as NextGen Healthcare, Kareo, AdvancedMD, eClinicalWorks, etc., to make the process smoother and more efficient.

Enhanced Compliance

Our medical claims processing services will assist you in meeting HIPAA compliance and state-specific regulations for every submission.

Improved Cash Flow

With accurate claims submission and a reduced denial rate, we ensure timely reimbursements that improve cash flow in your business.

Customer Retention

We assist our clients with on-time claim submissions that lead to receiving a complete reimbursement and enhance customer retention.

Step-by-step process for Medical Claims Processing Services
Step-by-step process for Medical Claims Processing Services

No items found.

Invensis - The Most Trusted Medical Claims Processing Company

We started as a 2-employee company in 2000 and now have grown to a 500+ employee healthcare BPO company. During this span, we have delivered medical claims processing outsourcing services to the healthcare providers such as solo practices, group practices, large Medical Centers, Surgery Centers, Pain Management centers, Anesthesiology groups, Radiology groups, etc. In addition, we have offered our medical insurance claims processing to more than 30 specialties. Our clients trust our insurance claims outsourcing services and come from countries like the US, UK, and Canada. We improve the claims processing of our clients by optimizing internal processes, prioritizing tasks, ensuring service delivery levels, improving the pre-claims experience, and omnichannel engagement.


Years of





ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company


Increase in Point-of-Service
(POS) Collections


Clean Claim Rate


Reduction in Accounts Receivable
(A/R) Days


Reduction in Cost to Collect


Improvement in
Issue Resolutions

Finance and Accounting Tools We Specialize In

Microsoft Dynamics GP

We Provide

We are Waiting! Outsource to Us Now.
Get a Quote

What Our Customers Say

Before engaging with Invensis, our nursing personnel struggled with patient data access and communication. Invensis introduced an integrated healthcare platform to eliminate data silos and enhance patient care coordination. This solution improved information sharing and streamlined our healthcare operation.

Richard Thompson
Head of Nursing, Leading Australian Healthcare Service

We were facing significant challenges in patient record management. Invensis implemented advanced EHR systems and resolved issues with our data entry process. They helped us improve process efficiency significantly. You can trust them blindly for your healthcare support needs.

Jennifer Davis
Chief Medical Officer, UK-Based Healthcare Practice

Securing client appointments was a significant challenge for us. Lack of cutting-edge appointment scheduling tools and manual, error-prone methods often were leading to scheduling errors and delays. Invensis, helped us by implementing an advanced scheduling software and trained personnel to efficiently manage appointments. Their support enables us to offer online booking and improve patient communication.

William Jones
Director of Operations, A US-Based Leading Healthcare

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

Star IconStar IconStar IconStar IconStar Icon
John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

Star IconStar IconStar IconStar IconStar Icon
Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

Star IconStar IconStar IconStar IconStar Icon
Sarah Smith
Leading Healthcare Provider in Italy.

Our eCommerce Store Management Services Cover Leading Platforms

An Ultimate Guide to Accounts Receivable Turnover Ratio
An Ultimate Guide to Accounts Receivable Turnover Ratio

This blog accounts receivable turnover ratio will introduce you to the basics of AR turnover ratio and how you can use it to better your balance sheet.

Latest Accounting Trends in 2023 | Future in Accounting

Trends and techniques in accounting are always changing, especially as new technologies emerge. SAGE has found that 90% of accountants think accounting is going through a cultural shift that favors technology.

7 Emerging Healthcare Trends Transforming the Industry
7 Emerging Healthcare Trends Transforming the Industry

Keeping an eye on trends is crucial in healthcare! Uncover the future of the healthcare industry with the trends that are set out for 2024.

Top Challenges Faced by The Healthcare Supply Chain
Top Challenges Faced by The Healthcare Supply Chain

Establishing a seamless healthcare supply chain process is riddled with challenges. Explore the top obstacles and ways to navigate them.

A US-based Healthcare AI Company Partnered with Invensis and Reduced Data Extraction TAT by 24 Hours

Discover how a leading US Healthcare AI company transformed efficiency with Invensis, cutting data extraction time by 24 hours.

A US-based Healthcare AI Company Partnered with Invensis and Reduced Data Extraction TAT by 24 Hours
Invensis Helped a UK-based Healthcare Information Service Provider Nearly Double their Document Processing Capability

Download Invensis Document management case study on how a UK-based healthcare provider enhances quality of information management.

Healthcare Data Management Case Study

Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

Request a Quote

Fill up the form and our team will get back to you within 24 hours.

Enquire with Us

Enquire with us

Fill out this form to get in touch with our expert team.