When a TPA client sends claim and eligibility information to NM&A (in the form of paper or scanned images) at the end of their workday, NM&A enters the information into the client's system. Our claims examiner teams adjudicate the claims and provide 24-hour turnaround 90% of the time. High-dollar claims or claims which require accident reports and certain pre-determined procedure codes will be processed by a claims examiner team in our Houston offices.

The work, which is processed throughout the night, will be finished and available for the TPA client to access the next business day. Meanwhile, all client information will be entered into the claims processing system and adjudicated or logged for review by an NM&A claims examiner team. Our staff organizes a conference call with NM&A evening supervisors to review overnight production, as well as any claims logged as exceptions. Our staff dials into the claim processing system and adjudicates the high-dollar or exceptional claims.