Healthcare Payer Services

Member Services

Using multiple channels of communication including phone (inbound or outbound), email, online chat and SMS, plan members employers, providers and third-party insurance companies can get in touch with our team. Our representatives are carefully selected, and trained to provide personable care that is sensitive and responsive to the customer and his needs.

For 24 x 7 operational support or off-hours assistance for your customers, our contact center personnel are experienced and trained to handle a wide range of concerns experienced by all parties interacting with our experienced staff.

Eligibility Verification 
It is important to determine the eligibility of a patient for medical services. Sometimes eligibility is not accurately determined leading to inconsistencies in the coverage and even conflicts between the insured party and the insurance provider. NorthStar’s teams of verifiers go through in-depth training, testing and client certification. They are adept in handling various healthcare policies, making them competent in reviewing the eligibility of a particular patient for medical treatment or service.
Medical Record Retrieval 

Our team of Medical Record retrieval experts will contact providers, verify whether they received a copy of our request for medical records, determine the expected turnaround time, identify how they could best send the requested medical records, and ascertain that the record is posted correctly in the appropriate file.

New Member Development 

NorthStar’s team will help you acquire new members by assisting you in marketing your health insurance coverage benefits. We will work with your existing contact base, or assist you in developing new contact databases. We qualify leads and set phone or face-to-face appointments for your insurance agents. We handle the on-boarding process for new members, making sure that their information is accurate, complete and up to date.