Claims Administration

Apollo’s claims adjudication team has significant experience in various facets of claims administration. Apollo team processes over two million claims every month. Our senior claims adjudicators bring more than 20 years of experience and knowledge.

Claims Adjudication
Apollo Health Street’s Claims Adjudication professionals work on claims from very simple to highly complex. Our team is experienced in processing medical, dental, disability, and cafeteria plan claims on a variety of claims systems. We can provide a solution to meet high-volume needs with financial accuracy and turn around times of 12 hours or less.

Claims Re-Pricing
Apollo’s Claims Re-Pricing Services include a variety of methods: via customer systems, web-based tools, or internal applications. We have provided re-pricing services through many national and regional networks and can easily customize a solution to meet your organization’s needs.

Reinsurance Claims Management
Apollo’s most experienced examiners handle the most complex reinsurance claims from initial filing through audit and completion. We handle specific and aggregate stop-loss claims and can manage split retentions, aggregating specifics, and complex catastrophic claims.

Claims Auditing
Apollo’s Claims Audits assure that required quality levels are maintained. A key feature of our work includes root-cause analysis of data to address issues contributing to claims errors. Our staff provides random claims audits at any percentage, as well as valuable feedback along with accuracy ratings.

Coordination of Benefits (COB) / Subrogation
Our claims professionals handle the most complex COB and Subrogation claims, with timely follow-up for those requiring long-term status reviews and updates.