Services

Doyle Canyon consulting services help you better understand challenges in health plan operations that prevent you from achieving your current goals.  We offer services in:

  • Provider Claims Processing
  • Member Enrollment and Eligibility
  • Invoice Processing
  • Business Operations Planning
  • Business Process Improvement
  • Product Management
  • Project Delivery and Management
  • IT Planning and Software Development

Our services in medical claims processing include:

  • EDI 837 Processing
  • Provider Denials
  • Claims Adjudication
  • Provider Dispute Processing
  • Provider Payments
  • Accounts Receivable Review

Our services in Business Operations, Process, and Product Management

Doyle Canyon is experienced in health plan industry, business operations, business process management, project management, and technology consulting.  Specialty areas include:

  • Business Systems Analysis
  • Technology Strategies and Roadmaps
  • Solution Architecture
  • Project Management
  • Budget Management
  • Policy/Procedures
  • Health Plan Operations
  • Personnel Management
  • Business Process Management
  • Software Development Life Cycle
  • Agile/RUP/Waterfall Delivery