About Us

What is PCH Global?

PCH Global is committed to optimizing every aspect of the healthcare journey.

We are at the forefront of transforming healthcare outcomes by streamlining operations, leveraging advanced analytics, and prioritizing patient engagement.

A connected healthcare operations platform

Experience a seamless solution for appeals and paper claims management.

PCH Global streamlines healthcare documentation, appeals, and paper claim workflows through secure digital processing and structured operational workflows.

Claim Payment / Provider Dispute

Resolve claim payment issues and provider disputes faster through structured workflows and improved communication between stakeholders.

Medical Record Requests

Process medical record requests securely with organized document retrieval workflows that support timely and compliant responses.

Claim Submission

Submit and manage healthcare claims efficiently with processes designed to improve data accuracy and reduce administrative delays.

Claim Payment Integrity

Strengthen payment accuracy by identifying billing discrepancies and ensuring claims follow payer guidelines and compliance requirements.

Appeal or Reconsideration

Manage appeals and reconsiderations efficiently with structured workflows that support faster review, accurate documentation handling, and improved resolution timelines.

Member Reimbursements

Process member reimbursement requests accurately with organized documentation workflows that support timely validation and payment.

Authorization Requests/Referrals

Simplify authorization and referral requests with efficient processing workflows that support timely approvals and better coordination between providers and payers.

Provider Information Change Forms

Digitally manage provider information updates to ensure accurate records and faster processing across healthcare networks.

Cost Containment

Identify billing discrepancies and reduce unnecessary healthcare costs with solutions designed to support financial accuracy and operational efficiency.

Our numbers speak for us

PCH Global supports healthcare organizations with scalable solutions that improve operational efficiency and strengthen financial outcomes across the healthcare ecosystem.

71K+

Registered Provider Users (Aggregate)

1M+

Complex Appeal, Claim & Correspondence Processed (Daily)

12M+

Claims Adjudicated (Annually)

400+

Plans Served (Aggregate)

193M

Lives Supported (Aggregate)

$4B+

Underpayment Identified

Our capabilities

A bird's eye view of PCH Global

PCH Global delivers technology-enabled services that support healthcare operations, financial workflows, and data management across the healthcare ecosystem.

Managed/Support Services

  • Data science & AI enabled product portfolio
  • BPA for healthcare & related services
  • Provider education & CDI
  • Data Analytics & Insights & Dashboards
  • Clinical support services – Clinical data management & Abstraction
  • Financial management & accounting including AP
  • Provider Credentialing
  • Risk adjustment & HCC Abstraction

RCM & Coding Services

Our experienced Medical Billing resources can process for low cost fee. Resources are experienced on all major billing platforms.

  • Eligibility & Benefits
  • Patient registration & scheduling
  • Medical Coding & audits
  • Medical Billing & claim submission
  • Denial management & AR follow up
  • AP & Credit Balance

XBP Global Product Portfolio

XBP-SMB facilitates interoperable integration with existing EHR/EPM platforms, allowing for the seamless exchange of digital data and enabling the consolidation of data and generation of reports from multiple datasets.

PCH Global ensures the accuracy of claim processing, optimizing revenue by identifying opportunities for Underbilling and addressing underpayment issues.

Our state-of-the-art medical coding and auditing are conducted through our Lexicode coding platform.

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