We offer Business Process Outsourcing Services that leverage on the use of Information Technology in providing electronic claims processing and adjudication services to insurers and provider groups, community health and government plans and traditional clients’ employer-sponsored self-funded plans.

Our Drug and Dental Cards combine the CONVENIENCE of a DEBIT CARD and the FLEXIBILITY of SELF-INSURING PLAN. Experience these innovative services at minimal Transaction Fees.
 
 
 
Competitive challenges and macroeconomic factors prompt organizations to strategically manage growth with less investment on infrastructure and manpower resources. The advent of globalization boosted the industry for Business Process Outsourcing (BPO) and for related IT-enabled services. BPO emerged as a practical solution to allow you to focus more on your core competencies while freeing up valuable resources to drive growth and innovation.
 
Significantly reduce cost
Expenses normally incurred for huge office space and manpower resources can be redirected towards core activities that have greater return in serving your customers.

Increase Market Share
Competitive edge can be built by spending more time on the company’s core competency and marketing programs rather than repetitive administrative tasks.


Improve efficiency

Take advantage of the latest technology without allocating hefty capital expenditures on IT infrastructure.

Expedite business set-up
Because all infrastructure and policies are already in place, setting the business can be done in no time.


Our Claims Management Software, Endovelicus, named for the Roman God of Health and Welfare, provides electronic and real-time adjudication of authorized prescriptions and dental claims. Each transaction verifies the Card Holder’s Coverage and Account Balance. It also guarantees payment (to the providers) within 48 hours.

 

 
 

Electronic Adjudication
ESORSE provides an integrated solution to seamlessly and electronically adjudicate drug and dental claims.

Web Adjudication
Claims may be submitted by either Provider or Member through a secured portal that processes in real-time adjuidication.

Manual Adjudication
ESORSE can handle the mundane task of adjudication and authorization of manually submitted claims.

Administrative Services
ESORSE offers its resources to perform administrative functions aimed at increasing efficiency and productivity through paperless environment.

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