Providing Healthcare Administrative and Clinical Services since 2007
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Calibrated was started out of necessity for an MSO, (Management Service Organization) to comply with the claims processing timeliness and accuracy requirements as required by the State of California and CMS, (Center for Medicare and Medicaid Services). Staffing a Claims Department was challenging to attract experienced staff while staying within budget.
The MSO was contacted by Madhu Vijayan to consider outsourcing the work to a new BPO (Business Processing Outsourcing) company. As the COO of the MSO, Jovita Montes De Oca flew to India to build a staff that would adjudicate claims in India while accessing the management system in the United States. Jovita instituted safeguards to assure that privacy and security of the data would be maintained. By establishing the claims adjudication in India, accuracy and timeliness was substantially improved and the challenge of meeting the State and CMS requirements were easily achieved.
In 2007, having experienced the success of developing and utilizing offshore services, Jovita accepted the position of CEO and continued to grow Calibrated.
Today Calibrated has many clients in the USA inclusive of Health Plans, Health Systems, MSOs, TPAs (Third Party Administrators) and IPAs (Independent Practice Associations). Over the years, services have expanded to provide all healthcare administrative services including claims processing, enrollment eligibility, system configuration, benefit maintenance, provider and vendor setup.
In 2018, Calibrated created a Philippines Division to address the need from clients requesting clinical services. Today, a staff in the Philippines provides clinical services inclusive of utilization management, case management, population health, authorization processing and provider credentialing.
Headquartered in Ontario, California, Today, Calibrated provides administrative services that improves quality and lowers costs with over 1,000 team members!
Calibrated Healthcare
Our Values
Demonstrating Integrity
We aim for the highest levels of quality and excellence in all areas of our work, ensuring continuous improvement and success.
Practicing Leadership
We are committed to displaying high standards of ethical and professional business practices.
Respect one another
We are committed to fostering a positive work environment where mutual respect and collaboration are at the core of everything we do.
Striving for excellence
We aim for the highest levels of quality and excellence in all areas of our work, ensuring continuous improvement and success.
Demonstrating Integrity
We aim for the highest levels of quality and excellence in all areas of our work, ensuring continuous improvement and success.
Practicing Leadership
We are committed to displaying high standards of ethical and professional business practices.
Respect one another
We are committed to fostering a positive work environment where mutual respect and collaboration are at the core of everything we do.
Striving for excellence
We aim for the highest levels of quality and excellence in all areas of our work, ensuring continuous improvement and success.