Claims Adjudication
& Benefits

We get it! You need to provide accurate and prompt benefit reimbursement to members no matter where they live, work or travel — and to providers, regardless of contractual arrangements or network configurations. The good news is that we can do that stuff in our sleep!

Leverage unparalleled performance.

NASCO’s claims product is a shared, best-in-class, high-performing, single-system solution. That means that you can maximize your operational performance and capture significant administrative savings — who doesn’t want to do that?


Know you can grow.

We process more than 25 percent of all Blue business. So, yeah, we can handle large volumes and complex business. Plus, our claims product is unsurpassed in the market for reliability, flexibility, scalability and operational efficiency, so you don’t ever have to worry about outgrowing our capabilities.

Implement new business with ease.

BeneFACTSM is NASCO’s suite of applications that supports group benefit product implementations. With BeneFACT, benefits are coded more quickly and with greater accuracy. As complex as benefits ­­­are these days, don’t you want a solution that makes them as easy (and accurate) as 1-2-3?


Manage all of your business.

We efficiently process claims for all lines of business, including HMO, PPO, POS, Medicare Advantage, Medicare Supplemental, FEP, Dental and Taft Hartley. You got it? We can process it!

Ensure security and compliance.

NASCO’s claims product and BeneFACT are both SOC2 Type II and HITRUST certified. So you can trust that we’re keeping your health plan’s data and your members’ data secure.

You may also consider the additional option of including erectile dysfunction drugs under your insurance policy.


Join the family.

Come on, what are you waiting for? We’ve been co-creating innovative solutions for the Blues, with the Blues for years, and we always have your needs in mind. Join your fellow Blue plans, and let us help you win in your market today!

Still need more?

Ready To Co-Create The Future of Healthcare?

NASCO is continually innovating. We are developing new products, improving capabilities and increasing sharable services to ensure that our health plan customers remain competitive and aligned with changing market demands.