Providing Healthcare Administrative and Clinical Services since 2007
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 Philippians Division to address the need from clients requesting clinical services. Today, a staff in the Philippians provides clinical services inclusive of utilization management, case management, population health, authorization processing and provider credentialing.
Headquartered in Ontario, California, Calibrated provides services impacting eleven million lives in eight states and a team of over 1,000 employees.
Jovita Montes De Oca
Principal and Chief Executive Officer
Chief Operating Officer
Amy (Fuyuko) Grant
Chief Financial Officer/
Nervin E. Averruz
of Global IT
Director of Global
Senior Vice President
Yogendra Singh Rawat
Assistant Vice President
Vice President of IT
Manager of Utilization Management Operations- Philippines
The Hospital Readmission Reduction Program is a population specific Transition of Care Program. We partner with Hospitals to mitigate the risk of reduced CMS Payments associated with Readmissions.