Inside Your 20-Minute Claims Review
- Pinpoint 2–3 cost/accuracy levers across intake → adjudication.
- Identify rework drivers behind pends/denials; lift first-pass yield.
- Discuss governed QC and in-state escalation pathways.
- Outline right-sized next steps (assessment or pilot) without expanding internal teams.
- Spot where complex claims drive rework and outline fixes.
Built for Payers. Tuned for California Claims.
Imagenet operates claims for California payers and risk-bearing providers with higher processing accuracy and faster resolution. Our in-state footprint and accountable SLAs keep operations compliant and scalable—including 12.5× surge capacity—without sacrificing speed or precision.
Lower Cost of Operations
Reduce claims rework and consolidate processes—scaling efficiently without adding staff.
Higher Accuracy & First-Pass Yield
>98% processing accuracy proven; automated validations and targeted QA cut pends and denials on simple and complex claims for cleaner claims from day one.
In-State Leadership & Accountability
CA-based leadership and two California offices, with defined escalation paths and clear ownership, drive faster resolution and accountable SLAs—aligned with California’s 30-day clean-claim standard now in effect.
“Imagenet scaled quickly, integrated seamlessly, and delivered exactly what we needed to stay compliant.”
— Director of Claims Operations, Large Public Health Plan
Ready for the 30-Day Clean-Claim Standard?
Now that California’s 30-day clean-claim standard is in effect, health plans and insurers must pay, contest, or deny clean claims within 30 calendar days. We help you stay on pace with:
- Higher first-pass quality at intake to avoid avoidable pends.
- Governed workflows—clear worklists, SLAs, and escalation paths—to keep decisions on pace.
- Regulatory alignment with policy/code updates and QA oversight.