Eligibility, Claims Processing and Auditing Our mission is to provide a cost effective and comprehensive claims payment solution that integrates with our client's and provider's processes. Eligibility Management Ensure Accurate Coordination of Benefits. Monitor FMLA and COBRA Status. Identify Advocacy Candidates. Establish and Monitor Subrogation Cases. Identify Potential Third Party Payers. Confidentiality of all member's personal data. Claims Processing and Auditing Accurate auditing and efficient claims payment. Medical review and auditing by licensed RNs. OFAC and FDR compliant payments. Ensure Coverage of Services Rendered. Negotiating leverage through direct claims payment. Claim Reporting Claims data analysis and communication with client through accurate reporting. Facility claims management and communication with the Provider Contracting team. Financial management and reporting over the continuum of claims payment.