iRapidO

PAYER SERVICES

DRIVING DESIRED OUTCOMES: AFFORDABLE AND ENHANCED PATIENT CARE, IMPROVED PROVIDER COLLABORATIONS, RELATIONSHIPS AND COMPLIANCE.

In the face of rising enrollments, federal mandates, rising cases of chronic diseases, healthcare payers are under pressure to reduce costs and be more efficient.

iRapidO supports payers with efficient backoffice services and technologies that help you maintain competitive advantage, improve bottom line and enhance provider relationships.

Our claims processing solution leverages claims and medical documents automation, artificial intelligence and analytics that impacts every single touchpoint in the claims journey, speeding up the overall process, enhances decision-making, reduces costs, minimizes fraud and risks, and improves provider experience.

We provide omni-channel touchpoints for your provider network. We also bring in people-centered, AI-powered processes that reduce time and effort in your operations, build efficiencies and productivity, and reduce risks.

Healthcare operational experts utilizing AI-powered claims processing software to manage provider credentialing and member eligibility.

PROVIDER LIFECYCLE MANAGEMENT

  • Prospecting

  • Contracting

  • Credentialing

  • Setting Up

  • Servicing and Data Management

  • Digital Experience Design (Web Portal)

  • Customized App Development

  • Provider Helpdesk

CLAIMS MANAGEMENT SERVICES

  • Mailroom Operations

  • Data Extraction

  • Claims Processing

  • Member Validation

  • Provider Validation

  • Date of Service (Dos) Validation

  • Eligibility Check

  • Pre-Adjudication Edits

  • Adjudication First Pass and Rework

MEMBER MANAGEMENT

  • Eligibility Check

  • Enrollment

  • Premium Invoice Billing

  • Telehealth

  • Digital Experience Design (Web Portal)

  • Customized App Development

  • Member Helpdesk

WHY HEALTHCARE PROVIDERS ARE OUTSOURCING SERVICES TO iRapidO?

At iRapidO, we do more than just support healthcare back-office tasks—we become a vital part of your healthcare operations. With strong healthcare domain knowledge, an experienced team, and strict compliance standards, we help healthcare providers improve efficiency, lower costs, and deliver outstanding patient care.

Healthcare Domain
Expertise

Deep understanding of healthcare industry standards and practices.

24x7x365 Operations

Continuous support to keep your operations running smoothly.

Lower Cost of Operations

Reduce expenses without compromising on quality.

Experienced, Trained and Certified Team

Skilled doctors, clinicians, and certified coding professionals ensuring accuracy.

Flexible Engagement
Models

Choose service models that fit your business best.

Rapid Scale Up

Accelerating growth with rapid scale-up strategies for maximum impact.

Process Automation

Save time and reduce errors with automated workflows.

Continuous Training and Skills Upgrade

Keep your team up-to-date with regular trainings.

Stringent Data Security

Protect sensitive information with robust security protocols.

HIPAA and HITRUST Compliance

Strict adherence to healthcare privacy and security standards.

Consult with our Healthcare Domain Expert

Get personalized insights tailored to your business needs. Our experts are here to guide you every step of the way.
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