California Claims: Lower Cost, Higher Accuracy, Stronger Compliance.
Reduce operating cost and rework while improving processing accuracy—across simple and complex claims—backed by California-based leadership, governed QC, and defined escalation paths. Our workflows support California’s 30-calendar-day clean-claim standard effective Jan. 1, 2026.
5 California Health Plan Clients • 2 California Offices • In-State Leadership
Connect with our California claims experts—use the form to book your 20-minute review.
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—supporting the 30-day clean-claim standard (effective January 1, 2026).
“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?
Effective Jan 1, 2026, California 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.
Follow Us and Stay Connected
© 2025 Imagenet, LLC. All rights reserved.