WHY eLL. 

Over 1000+ professionals trained across different countries

Trusted by people across IT Industry as their learning provider for career growth and training.

We have a young and dynamic team, including research scholars, industry personals and experts in different IT technologies, involved in providing quality education.

Our curriculum is in sync with the international standards and will be maintained to include the rapid changes in technologies.

Role-Specific Training.

Different mode of training as per your inconvenience: Traditional Class room, Instructor Led Online and Self Learning.

We follow a Global Learning Framework which has proven to deliver results and has been perfected by our experience in training a million learners.

Our different modes of training includes traditional classroom training, online training and self learning gives you the best and assists different learning needs and styles.

Free access to high quality industry-relevant videos, articles, blogs and other study material

24×7 live support via chat, mail and phone with a request to call back option

Real-time / latest Projects and Assignments.

KEY FEATURES.

1. 15+ Hrs of live sessions on Claims module

2. Video access of all the sessions

3. Resume and Interview preparation.

ELIGIBILITY.

Anyone having a general understanding of financial accounting terms can opt for SAP FICO certification. This course is suitable for:

Healthcare IT domain knowledge.

Students with a Bachelor or Master’s degree

Executives and Managers

IT/Business analysts and System Analysts

Quality Assurance professionals

Project team members

CURRICULUM

Claims

1. Introduction of Healthcare
2. Building block of Healthcare
3. Claims Module
4. Definition of Insurance Claim
5.  Claim generation
6.  Claims Models Healthcare claims overview – Institutional,Professional, Dental and Pharmacy
7.  Types of Claims
8.  Health Insurance claims process – Adjudication (Acceptance, Denials, Rejections, others)
9. Claim Submission 
10. Claims Intake process
11. Claims Adjudication
12. Claims Payment Header Details Line level Details

Benefit Module

1. Overview of Benefit
2.  Benefit Plan Module
3.  Creating New Benefit
4. Adding exclusions
5.  Adding Service Groups
6. Adding EOB/Remit Messages
7. Managing Restriction Groups
8.  Managing Accumulators
9. Managing codes(CPT,REV)
10.  Managing Copay
11. Managing Diagnosis codes(ICD- 9,ICD10)

Provider Module

1. Definition
2. ER Diagram
3. Provider Search
4. Adding a Provider
5.  Affiliations- Definition and Types 
6. Affiliates 
7. Affiliations Tab overview 
8. Add an attribute 
9. Edit and Delete attribute 
10. Managing Contract affiliations 
11. Participation status
12.  Managing Plan affiliations
13. Service Groups 
14. Adding a service group 
15. Specialty 
16. Adding a specialty 
17. Memos and Alert 
18. Finance 
19. Member Counts 
20. Cap Adjustments

TRIZETTO®, FACETS™, and QNXT™ are trademarks owned by TriZetto Corporation. This training is not affiliated with TriZetto and TriZetto neither sponsors nor endorses our materials, goods, or services.

This course is designed as per the industry best practices. At the end of the course you will be awarded with Elearningline Course Completion certificate for Healthcare.