Medical Claims Data Entry Services

In today’s complex healthcare environment, managing the data entry of medical claims and patient encounter forms is a critical part of the revenue cycle. Delays or inaccuracies in processing can lead to denied claims, slow reimbursements, and regulatory risks.

At Precise BPO Solution, we offer specialized Healthcare Claims and Encounter Data Entry Services tailored to meet the needs of hospitals, medical billing companies, insurance firms, and healthcare providers.

Whether you're looking to reduce processing errors, ensure compliance, or improve turnaround times, our experienced team delivers precise and secure data entry services designed to keep your operations efficient and your cash flow consistent.

Talk to Our Experts

Data Collection & Intake
Securely receive forms via encrypted email, secure FTP, or cloud-based access.

Pre-Processing & Sorting
Categorize claims by form type (UB-04, HCFA 1500, etc.) and verify completeness.

Data Entry
Enter all required fields, including patient demographics, provider info, diagnosis codes, service details, billing amounts, insurance details, and claim codes.

Quality Control & Auditing
Perform multi-tiered validation checks for completeness, accuracy, and formatting.

Delivery & Integration
Deliver the final data in your preferred format (Excel, CSV, XML, or direct EHR integration) for submission to payers or claims management software.

Insurance Claim Form Processing

Client Need: A health insurance company needed to digitize and process thousands of handwritten claim forms daily to speed up approvals.

Solution: Our team extracted patient, policy, and treatment details from physical and scanned forms, validated them against supporting documents, and entered the data into the client’s claim management system.

Result: The insurer reduced claim processing time by 40% and achieved higher data accuracy, improving overall customer satisfaction.

Hospital Billing & Reimbursement Data Entry

Client Need: A multi-specialty hospital required accurate entry of patient billing and reimbursement data for insurance settlements.

Solution: We standardized data entry formats, extracted details from invoices and discharge summaries, and ensured all entries aligned with insurer requirements.

Result: The hospital achieved faster claim settlements, reduced rejection rates, and improved reconciliation efficiency.

Third-Party Administrator (TPA) Claim Management

Client Need: A TPA handling multiple insurers needed bulk claim data entry and validation services to manage incoming claims efficiently.

Solution: We performed high-volume data entry with double-layer quality checks, ensuring compliance with each insurer’s data format and coding standards.

Result: The TPA improved turnaround time, reduced claim backlogs, and enhanced reporting accuracy across multiple insurance partners.

We handle high volumes of diverse claim types, including:

Whether you're looking to reduce processing errors, ensure compliance, or improve turnaround times, our experienced team delivers precise and secure data entry services designed to keep your operations efficient and your cash flow consistent.

⦿ Health Plans

⦿ Management Services Organizations (MSOs)

⦿ Medicaid Managed Care Organizations (MCOs)

⦿ Third-Party Administrators (TPAs)

⦿ Repricing Companies

⦿ Independent Physician Associations (IPAs)

⦿ Dental Networks & Payers

Partner with Precise BPO Solution for Complete Claims & EDI Entry Services

From traditional paper claims to advanced digital workflows, Precise BPO Solution empowers healthcare organizations to achieve faster claims processing, lower costs, and better compliance. With our end-to-end claims entry and EDI solutions, your operations are in capable, experienced hands.

Start Your Project Today

Medical Claims - Data Entry

Talk to Our Experts | Get a Free Quote Today

Industries We Serve

Our healthcare claims data entry services are designed to support a wide range of healthcare stakeholders:

Hospitals and Clinics

Medical Billing Companies

Third-Party Administrators (TPAs)

Health Insurance Providers

Revenue Cycle Management (RCM) Firms

Outpatient Centers & Physician Groups

Workflow - Healthcare Claims Data Entry Services

To deliver consistent and high-quality results, we follow a proven workflow:

Use Cases - Medical Claim Data Entry Services

Insurance Claim Form Processing

Hospital Billing & Reimbursement Data Entry

Third-Party Administrator (TPA) Claim Management

We handle high volumes of diverse claim types, including:

Whether you're looking to reduce processing errors, ensure compliance, or improve turnaround times, our experienced team delivers precise and secure data entry services designed to keep your operations efficient and your cash flow consistent.

UB-04 / CMS-1450 Forms

UB-92 Forms

HCFA 1500 / CMS-1500 Forms

Explanation of Benefits (EOBs)

ENC (Encounter) Forms

Healthcare Providers

Paper-to-EDI Conversions (ANSI 837)

Paper Claims to EDI Conversion Services

Digitize & Automate Your Claims Workflow with ANSI 837 EDI Output

⦿ Health Plans

⦿ Management Services Organizations (MSOs)

⦿ Medicaid Managed Care Organizations (MCOs)

⦿ Third-Party Administrators (TPAs)

⦿ Repricing Companies

⦿ Independent Physician Associations (IPAs)

⦿ Dental Networks & Payers

Every day, our team converts thousands of CMS-1500, HCFA-1500, UB-04, UB-92, and dental paper claims into HIPAA-compliant ANSI 837 4010/5010 EDI formats, helping clients across the United States and India improve efficiency and reduce operational burdens.

Key Benefits of Our Medical Claims & EDI Entry Services

Reduced Claim Denials

Faster Reimbursements

Accurate Risk Adjustment Data (for ENC forms)

Clean ANSI 837 Files for Fast Upload

Improved Reporting & Auditing Readiness

Lower Overhead for Healthcare Admin Teams

Ready to get started? Contact us to discuss more about your needs.

Contact Us

Company

Data Labeling

Data Entry

Data Capture

Ready to get started?
Contact us to discuss more about your needs.