99.5% accuracy · 50% faster claim cycles
Claims Processing Services
Claims backlogs erode member satisfaction and increase denial rates. Acelerar manages the entire claims lifecycle: intake, data extraction, validation, adjudication support, payment posting, and denial management. Your operations team clears claims faster with fewer errors.
Claims Processing Outsourcing
What is claims processing?
Claims processing is the end-to-end workflow that moves an insurance or healthcare claim from initial submission through final payment or denial resolution. It encompasses far more than data entry. It includes claim intake and registration, data extraction from forms and supporting documents, eligibility and coverage verification, coding validation, adjudication support, payment calculation, remittance posting, and denial management. For insurance carriers, TPAs, healthcare providers, and self-insured employers processing thousands of claims monthly, manual processing creates backlogs, increases denial rates, and drives up cost-per-claim. Outsourcing claims processing to Acelerar gives you a dedicated operations team that manages the full claims pipeline with the accuracy, speed, and compliance rigor your business demands.
Market Data
The claims processing outsourcing market
Insurance and healthcare organizations are outsourcing claims operations to reduce costs, accelerate cycle times, and improve accuracy.
What We Handle
Complete claims processing pipeline
Claim intake & data extraction
We receive claims from any source (paper forms, electronic submissions, email, fax, and EDI feeds) and extract every data point: member information, provider details, diagnosis and procedure codes, dates of service, billed amounts, and supporting documentation. AI-assisted capture handles standard formats while our specialists process complex, handwritten, or non-standard submissions with field-level verification.
See insurance claims data entry →
Validation & eligibility verification
Every claim is validated against member eligibility, policy coverage, provider network status, and authorization requirements. Coding accuracy is checked against ICD-10, CPT, HCPCS, and DRG standards. Claims that pass validation move to adjudication. Claims that don't are flagged with specific deficiency codes for resolution.
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Adjudication support & payment calculation
Our team supports the adjudication process by applying benefit rules, fee schedules, coordination of benefits, deductibles, copays, and coinsurance calculations. Clean claims are processed through your payment engine. Complex claims requiring medical review or additional documentation are escalated with complete case files.
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Payment posting & denial management
Approved claims are posted with correct payment amounts, adjustment codes, and remittance details directly into your claims management system. Denied claims are tracked, categorized by denial reason, and queued for appeal or resubmission. We monitor denial patterns to identify systemic issues and reduce future denial rates.
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Cost Savings
The real cost of in-house claims processing
Processing claims manually costs $20 to $25 each when you factor in labor, denials, rework, and compliance overhead. Acelerar cuts that by 70%.
$25
per claim
Labor · Denials · Rework · Compliance overhead
$7
per claim
End-to-end · 99.5% accuracy · 5-10 day cycles
Why Outsource Claims Processing
Why organizations outsource claims processing to Acelerar
50% Faster Claim Cycle Times
Manual claims processing averages 14 to 30 days. Our end-to-end workflow reduces cycle times to 5 to 10 days, improving member satisfaction and reducing complaints to your contact center.
99.5% First-Pass Accuracy
Inaccurate claims data drives up denial rates and rework costs. Double-key verification on member IDs, coding, and amounts ensures claims process correctly the first time through adjudication.
70% Cost Reduction
The average cost to process a claim manually is $20 to $25. Acelerar brings that down to $6 to $8 per claim, including intake, validation, adjudication support, and payment posting.
Lower Denial Rates
Coding validation, eligibility checks, and completeness verification before submission reduce first-pass denial rates by 40 to 60%. Fewer denials mean faster revenue and lower administrative burden.
Scalable for Surges
Open enrollment, catastrophe events, new product launches. Our team scales within 48 hours. Process 500 claims or 50,000 without hiring or training delays.
HIPAA-Aware & ISO 27001 Certified
Claims data is handled with healthcare-grade security: HIPAA-aware processes, ISO 27001 certification, encrypted transfers, NDA coverage, and complete audit trails for regulatory compliance.
AI-Powered
How AI accelerates your claims processing
Our claims processing combines AI automation with human expertise for speed and accuracy that manual-only operations cannot achieve.
Intelligent Claims Capture
AI-powered OCR and NLP extract data from claim forms in any format (paper, scanned images, electronic submissions, and faxes). Machine learning adapts to payer-specific form layouts, improving extraction accuracy with each batch processed.
Automated Coding Validation
AI cross-references diagnosis codes, procedure codes, and modifier combinations against payer-specific rules and CMS guidelines. Coding errors that would cause denials are caught before submission, reducing rework by 70%.
Denial Pattern Detection
Machine learning analyzes denial trends by payer, code, provider, and claim type to identify root causes. Proactive corrections are applied to future claims, continuously reducing your denial rate over time.
Not just faster. Fundamentally different. Our AI-native approach means your outsourced claims team processes 3x the volume of a traditional operations team, with higher first-pass rates and fewer appeals.
How It Works
From claim submission to payment posting in 5 steps
Intake
Claims arrive from any source (paper, electronic, fax, or portal) and are registered in the processing queue with tracking IDs.
Extract
AI-assisted capture and trained specialists extract all claim data with field-level verification on member IDs, codes, and amounts.
Validate
Each claim is checked against eligibility, coverage, coding standards, and authorization requirements. Deficiencies are flagged for resolution.
Adjudicate
Benefit rules, fee schedules, and payment calculations are applied. Clean claims proceed to payment; complex claims are escalated with case files.
Post
Payments are posted with correct adjustment codes and remittance details. Denials are categorized, tracked, and queued for appeal.
Claims backlog affecting your operations?
Tell us your monthly claims volume and current pain points. We'll deliver a processing plan with timeline and pricing within 24 hours.
Get a Free QuoteWe work with your claims systems
Our teams are trained on the platforms you already use.
What our clients say
“The Acelerar team is a self-sustaining machine. They've become an extension of our own team.”
“Acelerar handled our entire catalog migration (50,000+ SKUs) without a single missed deadline.”
“We needed reliable, fast data entry at scale. Acelerar delivered consistent quality from day one, no ramp-up time needed.”
Industry Outlook
Where claims processing outsourcing is heading
The insurance and healthcare claims outsourcing market is expanding as organizations seek faster, more accurate, and more cost-effective claims operations.