Royal is a leading provider of health plan services such as customer service, claims processing, clinical services, premium billing, and enrollment processing. Leverage our experience and take advantage of our staffing economies. We serve health plans of all sizes including start-ups and large national HMOs. You can contract for a full range of services or choose from them à la carte. Using PEGASYS software, we have transformed business processes such as:

  • Enrollment/eligibility processing.
  • Claims imaging, adjudication, and payment.
  • Provider reimbursement.
  • Call center inbound and outbound services.
  • Medical management.
  • Employer and government billing.
  • Reporting.
  • Printing and fulfillment.

We can design a custom approach for your health plan needs and provide service level guarantees. We also provide dedicated client service for our outsourcing customers to ensure that they can maintain oversight of our operations.