Your Pain...
- Low collections and Huge AR Backlogs
- Switching over of jobs by your in-house
billing assistants
- Increasing costs for Processing Services
- Difficulty in keeping up with ever
changing claims processing procedures
- Lack of trained and available quality
resources
- Distractions in pursuing your core
business objectives
- Ever increasing need for IT capital
expenditures
- Customer dissatisfaction
- Lack of follow-up with the insurance
(Credentials, payments etc...)
- Lack of follow-up with low dollar value
claims - Time Crunch!
- Payment delay for the visiting physicians
- Delay in obtaining Authorization Number
Our Solution:
- Expert resource with best process
- Reduced processing cost and increased
capacity
- Faster TAT
- Significant cost savings up to 30-40
%
- 99% Accuracy
- Increased Cash flow - Denial Management
and AR Follow-up.
- Experienced staff with regards to the
insurance policies will follow the claims and credentials.
- Team allotment for the specialty vice
follow-ups
- An office manager at your place manages
the entire process with our staff
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 through FTP upload or PC that can be accessed
anywhere
- Medical claims process software will
be used to submit claims electronically by keying in the
Patient Demographics Entry charges Online/ offline
- Updating EOB (Explanation of Benefits)
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
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
Our Service Package Options:
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