Payer Services

Our expertise in streamlining administrative tasks ensures efficient claims processing, billing, and customer service. Additionally, we provide support for financial and care management, including telemedicine and fraud management, optimizing care delivery and ensuring better patient outcomes.

Enrollment

We have decades of expertise in eligibility and enrollment and can help ensure your process is fast, accurate and efficient. Whether using Seara Health for peak periods like open enrollment or delivering full support we can help you.

Provider Data Management

Provider data comes from many sources and has to be updated in your systems constantly. Our expertise in this area combined with the latest in data analytics will help you eliminate duplicates, get accurate data and be CMS audit ready.

Credentialing

Want to outsource this process in order to save money and speed up the process? Looking to expand your network? Bringing in a new contract? Entering a new market? Or just have a backlog you need to fix? We can help.

Claims Adjudication

Want to increase your auto adjudication rate? Need overflow support for peak periods? Want a partner to manage this process for you? We are claims experts and are ready to make your life easier.

Clinical Operations

We can deliver high quality clinical resources at a substantial savings to you so you can focus on policy and population health.

Stars Support

We can help with your STARS program including “Chart Chase”

System Integration

Are you on multiple platforms and need to reduce that number? Have you acquired business on a different platform? We can help you to successfully execute the people, process and technology strategy you need to succeed. We are among the few that have done this successfully and repeatedly.

Program Management

Do you have a strategic program or suite of programs that must be executed yet you lack all the resources needed to make it happen? Call Seara Health – we are the “Get stuff done” folks.