Exceed the highest quality standards across critical processes, platforms and resources

Healthcare payers must continuously and simultaneously meet the demands of members, providers and regulators by delivering the best possible customer experience and operational performance. The risks of missing the mark on quality are too great in today’s environment.

Firstsource’s Quality Assurance services help payers meet the demands of all these important stakeholders by optimizing the efficiency and accuracy of critical processes, platforms and resources. From claims adjudication and provider data management, to customer service, member enrollment and billing, we apply expert process analytics, customer intelligence, and advanced automation to help payers reduce turnaround time (TAT) and costly errors, and improve their Net Promoter Scores (NPS).

Firstsource uses root-cause data analysis, internal and external audit tools, Robotic Process Automation (RPA), and Machine Learning to accurately identify and respond to errors—before they enter the process. We capture and logically analyse 100% of daily data volumes and workflows, rather than limit audits to a random data sample.

Stay Ahead

Although our Quality Assurance services have virtually limitless applications, payers have relied on us to help them...

  • Improve first-pass adjudication rates for claims
  • Reduce claims inventory backlog and errors
  • Achieve faster claims processing turnaround time
  • Identify and resolve provider data quality and management issues
  • Capture and transform customer interaction data into actionable insights
  • Monitor contact center operations and individual agent performance
  • Detect, assess and correct the root cause of problems
  • Gain visibility of Firstsource’s service performance

Why Firstsource?

"Leader" in the IAOP Outsourcing 100 List for 2017

This prestigious designation is granted only to the best and most disruptive BPO companies

Trusted by FTSE 100 & Fortune 500 companies

We believe in long term partnerships - over half of our clients have been with us for 7 years or longer

18,000+ people in 38 global delivery centers

We deliver 24/7 customer support aided by advanced analytics, RPA and cutting-edge technology

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Related Pages

Healthcare Claims Administration

For healthcare payers, we provide best-practice workflows, technology and support for efficient healthcare claim processing thereby delivering improved customer experience resulting in growth and increased revenue.

Enterprise Claims in the Cloud (BPaaS)

Firstsource automates your workflows, makes claims processing faster and more accurate, enables superior claims analytics and fraud protection and delivers superior customer care from our contact centers across the US.

Member Enrollment, Billing and Eligibility

Firstsource's member enrollment, billing and eligibility support services enable healthcare payers to deliver high-quality services while remaining profitable and competitive.

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