Claims Services

Global Medical Management, Inc. has committed substantial resources and time to developing and maintaining personnel and equipment for efficient management of claims.

Claims Processing
In addition to our expertise in obtaining the proper data and evaluating that data correctly, GMMI has the systems capacity and staff experience needed to offer the high quality professional work required by international payers. Included in GMMI’ s Claims Services Program are the following:
• Processing of all claims presented.
• Coordination of cost containment measures with the appropriate authority.
• Preparation and delivery of periodic reports.

Claims Adjudication
All claims are examined for completeness, accuracy and medical appropriateness. If the claim falls into predetermined criteria it may be sent through one of the following processes:
• Retrospective Price Negotiation
• Bill Audit / Cost Based Review
• Physician Peer Review
Once the claim goes through any one of these processes it will be re-priced accordingly and sent back to you. You should submit all bills to Global Medical Management, Inc. as substantial discounts can be obtained on any bill utilizing any one of these services. Global encourages clients to submit all claims. Even claims involving a small dollar amount can generate very good savings.

Contact Us for more information on Claims Services and:

Repricing
Price Negotiations
Recovery
Subrogation
Bill Audits
Physician Peer Review
Electronic Claims
Coordination of Benefits


Please send all Electronic Claims to
We accept claims in all HIPAA mandated formats.
We accept digitally encrypted claims.