About OmniCaid LLC
OmniCaid LLC is a healthcare operations partner specializing in AI-powered subrogation, clinical case management, claims administration, and scalable BPO solutions. We combine advanced technology, certified clinical expertise, and structured operational frameworks to help healthcare organizations reduce overhead, increase recoveries, and improve compliance.
Our offshore delivery model provides cost efficiency without compromising quality or regulatory alignment.
Our Mission
To transform healthcare operations through intelligent automation, certified clinical expertise, and secure outsourcing models that drive measurable financial and operational performance.
We Serve:
Health insurance payers
Hospitals & health systems
Independent physician groups
TPAs
Healthcare technology companies
Comprehensive Healthcare Outsourcing Solutions
OmniCaid provides specialized outsourcing services across administrative, financial, clinical, and IT domains. Our integrated delivery model ensures operational continuity and measurable ROI.
Administrative & Financial Services
Optimize your revenue cycle and reduce denial rates.
Commonly Outsourced Functions:
Medical billing & coding (ICD-10, CPT, HCPCS)
Insurance claims processing
Denial management & appeals
Revenue Cycle Management (RCM)
Payment posting & reconciliation
Data entry & records management
We improve clean claim rates and reduce Days in A/R through structured quality assurance protocols.
Claims Administration
Full lifecycle claims management from intake through adjudication and reporting.
Capabilities :
Claims intake & validation
Eligibility verification
Coordination of benefits
Subrogation integration
Fraud flagging support
Analytics & reporting dashboards
Patient Engagement Services
Enhance access, responsiveness, and patient satisfaction.
24/7 healthcare call centers
Appointment scheduling & reminders
Benefits verification
Prior authorization coordination
Provider answering services
Our engagement teams are trained in HIPAA-compliant patient interaction standards.
IT & Support Services
Secure, reliable, healthcare-focused technology support.
Electronic Health Record (EHR) implementation
EHR support & maintenance
Healthcare cybersecurity
Data analytics & reporting
System integration support
Workflow automation
We ensure data integrity, compliance, and operational continuity.
Clinical Support Services
Strengthen documentation, utilization control, and clinical accuracy.
Medical transcription
Clinical documentation improvement (CDI)
Utilization management support
Audit preparation assistance
Quality reporting
Delivered by clinically trained professionals aligned with U.S. regulatory frameworks.
Claims Denials Management
Every denied claim represents delayed cash flow, increased administrative burden, and avoidable revenue loss.
What We Deliver :
Clinical Denial Prevention, Review & Appeals
Clinical and Technical Underpayment Identification & Recovery
Government Audit Review & Appeals Management
Automated Workflows, Intelligent Worklists & Predictive Modeling to accelerate cash collections
Advanced Analytics & Payer Behavior Trending to uncover systemic patterns
