Claims Management
Effective claims administration is one of the core competencies payers must execute to protect their bottom line and to maintain and improve provider relationships. HighPoint Solutions has a solid record of supplying claims management solutions to health plans serving the Medicare, Medicaid, HMO, Commercial and Federal Health Programs.
We offer a holistic solution that covers all facets of claims management, including:
  • Membership Management
  • Group Administration
  • Marketing Association
  • Plans, Products, & Benefit Administration
  • Provider Contracting and Reimbursement
  • Provider Credentialing
  • Authorizations/Utilization Management
  • Premium Billing
  • Capitation
  • Management Reporting
  • Public Sector Program Support
  • Customer Service