Payor Experience

NobleSoft has a long and successful track record of partnering with major health insurance companies, helping them to better-leverage their existing ERP system to consolidate and standardize processes where it makes sense. In addition, we are very effective at building custom solutions to fit the unique needs of the Healthcare industry.

Our experience includes:

  • Revenue Recognition (Coverage Period based)

  • Claim Overpayment Recovery

  • Consolidated Provider and Consumer Billing

  • Inter Plan processing (Blue Card ITS)

  • ASO/ASC Billing/AR/Netting

  • Third Party Audit & Settlements

  • Statutory Accounting and Reporting

  • Federal Employee Program – FEPOC

  • NASCO

  • Consolidated Reporting across Segments

  • Automated Cash Application

  • Automated Claim Adjustments

  • ACA Taxes & Medical Loss Ratio

  • Delinquency Tracking