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Yes, under a signed Business Associate Agreement, with SOC 2 Type II certified sites, documented and independently audited access controls, and no client data stored on offshore servers. Staff access is limited to the records and fields their assigned task requires.

You do. Under the co-management model your team keeps the process, the quality standards, and the reporting cadence, while Connext provides an in-country team manager and weekly account reviews covering quality and utilization.

Connext recruits claims staff with prior healthcare claims processing or medical billing experience, working knowledge of medical terminology, insurance billing codes, and reimbursement policies, plus familiarity with electronic medical records and claims processing software. Only the top 4% of applicants are endorsed to you after vetting.

That is the workload it is built for: researching and resolving pre-processing errors and edits so claims are filed on time, and flagging pricing or submission inconsistencies to management instead of letting them queue. Dedicated capacity with cover across shifts is what keeps the backlog from rebuilding.

Yes. Appeals Specialists check claim statuses online, correct denied claims, resolve discrepancies, send corrected claims, and process refund requests or settlements. Timely appeals processing is also what keeps you inside each payer’s filing requirements.

A Claims Adjudicator processes claims against your plan documents while applying your policies and procedures, verifying that the data entered from the claim form is accurate and complete so the claim can be processed correctly. Coverage and eligibility determinations follow the policy terms, not the adjudicator’s judgement.