Smarter. Faster.
More Reliable.
At Comprehensive Healthcare, we know that behind every claim is a person relying on us to deliver quickly, accurately, and transparently. Powered by Novus 360, our claims processing solution helps automate and simplify this essential part of healthcare operations—so that your team can focus on what matters most: your patients.
The Future of Claims Processing is Here
Technology is transforming claims processing across healthcare and insurance. By leveraging the latest digital tools, we help your organization boost efficiency, cut errors, and elevate customer satisfaction.
Here's What's Powering the Change:
Automation & AI:
Blockchain:
Machine Learning:
How Claims Processing Works
Claims processing may seem behind-the-scenes, but it's the engine that keeps service delivery moving in healthcare and insurance. Here's how we make it smooth, reliable, and compliant from start to finish.
The 5 Key Steps of Claims Processing
Step 1: Claim Submission
It all starts when a claim is submitted—either online, via paper, or by phone. The more accurate the initial information, the quicker the processing time.
Step 2: Validation & Verification
We check that everything adds up. That includes verifying identity, policy details, and documentation to prevent errors and ensure eligibility.
Step 3: Adjudication
Here's where the claim is assessed. We review the supporting documents to determine the legitimacy and coverage of the claim.
Step 4: Approval or Denial
After evaluation, the claim is either approved or, in some cases, denied—with clear reasons and a path for appeal. Transparency is key.
Step 5: Payment or Resolution
Approved claims are paid out efficiently and on time. In other cases, the resolution might involve delivering a service or offering an alternative solution.