Calibrated Healthcare Network (CHN) manages over 11 million lives in over 8 states, partnering with industry leaders in the area of managed care. Our operating model features global workforce strategies coupled with efficient technological solutions. We have proven expertise in re-engineering complex managed care business processes to provide value to our esteemed partners. Our commitment to healthcare evolution is evident in investing in our staff,  facilities, and compliance to meet partners' needs. The core suite of services includes Claims Adjudication, Utilization Management, Medical Management, Complex Case Management, Benefits Setup, Member Enrollment, Eligibility Setup, Claims System Configuration, HCC Coding, and Credentialing.

Health Care

Calibrated Healthcare

Jovita Montes de Oca

Rahul Jain

Madhu Vijayan

Fuyuko Grant

Pankaj Gulati

Nervin E. Averruz

Kurt Hubler

The Claims Analysis and Management team at Calibrated Healthcare specializes in the thorough review, adjudication, and management of healthcare claims. This team ensures the accuracy and efficiency of claim processing, identifies and resolves discrepancies, and upholds compliance with relevant regulations, thereby streamlining the claims lifecycle to maximize value for the company's managed care services.

Claims Analysis and Management

Leadership Team

Claims Analysis and Management

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Leadership Team