Claims Administration and Payment Remittance

Our extensive claims administration infrastructure serves CYBHI Fee Schedule seamlessly, streamlining the claims process and ensuring rapid payment — without any disruption to existing sources of funding.​

We are responsible for:​

Claims validation

We work with providers to ensure claims are complete and accurate, reducing risk​ of duplication.

Member eligibility

We determine the appropriate payer for claims, based on students’ insurance.

Claims submissions

We ensure claims are submitted to the appropriate responsible payers.

Reconciliation and payment coordination

We respond to payer questions and facilitate reimbursement to providers.

Data management

We process, maintain, and analyze claims data, maintaining data security and integrity while also tracking services administered.

Claims validation

We work with providers to ensure claims are complete and accurate, reducing risk​ of duplication.

Member Eligibility

We determine the appropriate payer for claims, based on students’ insurance.

Claims submissions

We ensure claims are submitted to the appropriate responsible payers.

Reconciliation and payment coordination

We respond to payer questions and facilitate reimbursement to providers.

Data management

We process, maintain, and analyze claims data, maintaining data security and integrity while also tracking services administered.