Your Pain...
- Not worth keeping Billing clerk in house
for the low volume of claims processing work
- Your in-house billing assistants move
to other jobs often and leave you in lurch?
- Rising cost for Administration and processing
services
- Lack of trained and qualified resources?
- Single office assistant takes care of
all the work?
- Low dollar value claims are not followed-Time
Crunch!
Our Solution:
- Expert resource with best process
- Faster TAT
- Significant cost savings
- 99% Accuracy
- Increased Cash flow
- Billing worries taken care - More time
for core business i.e patient care..
- Low dollar value claims are also followed
for your profit.
- Pre verification before submitting the
claim - avoids denial.
What You
Get?:
We will take care of your entire Healthcare Claims processing
activities.
- We will dedicate a Phone number for
your Patients to call our office customer service 24/7.
- We will get you a Toll Free Fax number.
- Less than 36 hours TAT upon receiving
super bills.
- Save about 40-50% of your existing cost
or owning billing staff.
- Follow up with insurance carriers for
all submitted claims to ensure proper payment of claims
in a timely manner.
- Patient Insurance verification to minimize
claims rejection*
- Weekly production report and monthly
AR aging report.
- Free patient billing and invoicing for
three times.
- 90 Day payment guarantee for all Primary
claims of MCR and other Commercial Carriers MCR Blue cross
excludes Medicaid and Trust Funds and Patient balance.
* - If you signup online Appointment scheduling
services with us what we do the eligibility of the Pt before
the appointment and will notify your office the status.
How We Do:
- Super bills will be collected from your
office daily thru FTP upload or PC Anywhere access.
- Patient Demographics and charges will
be keyed into Online/ offline Medical claims process software
will be used to submit claims electronically.
- EOB- Explanation of Benefits will be
updated into billing software on a daily basis.
- AR aging reports will be carefully processed
and sent to your appraisal.
- Insurance calling will be done on claims
based on the AR report.
- Reports on the work done will be sent
on daily, weekly and monthly basis.
Step 1: Collecting / checking
/ scanning of required documents to Our Office
Step 2: Required data
i.e. Patient Demographics, Insurance Information, Super bill,
Check copies and EOB copies. Charge Entry will be updated
in our software. Expected TAT of this process is 36 Hrs.
Step 3: Payment information's
will be updated to individual claims on daily basis based
on daily document source - Check copies and Explanation of
Benefits.
Step 4: Unpaid / Denied
/ Rejected claims will be Analyzed, Accounted and Act upon
by the AR crew which will also call various Insurance Companies
for follow-up.
Step 5: Through our Office
/ Client we will route submission of secondary and tertiary
claims, claims with attachments, patient bills and other documents
to the Insurance companies |
