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Optimize your revenue cycle.

ANALYSIS PROCESS

Our competent and Knowledgeable professionals review each claim in each payer type to ensure proper reimbursement to the Healthcare Provider. After the Claims are analyzed, step are initiated based on the following.

INSURANCE AGING

Daily Insurance aging report is run to Segregate the claim Age. The analysis is done to identify Unpaid and Denied Claims.

REJECTED CLAIMS

Our Professional's make sure to clear the Rejection Bucket on Daily Basis to Avoid Late Filing.

PAYER FOLLOW UP

As a team we are responsible for looking after denied claims and reopening them to receive maximum reimbursement from the Insurance companies.

DENIAL MANAGEMENTS

We understand that each denied case is unique. So we Investigate the reason for every denied claim, Focus on resolving the issue, Resubmit the request to the insurance company, File Appeals Where Required.

Insurance and Eligibility Verification.

  • Receive Patient Schedule from the Healthcare Provider's Office-Hospital and/or clinic.

  • Perform Entry of Patient Demographic information.

  • Verify coverage of benefits with the patient's primary and secondary payers.

Demographic and Charge Entry Services.

  • Every Patient information is Cataloged in Billing Software. Entries contain Patient Demographic, Insurance information, Employment and Sponsor Details.

  • The charge entry service consists of entering CPT codes, Diagnosis code, modifiers and other Coding related information into the billing Software.

Payment Posting Services.

  • Once Payment and Explanation of benefits received from the Client or Payer, we post these into our database. Each and every EOB will be audited for payment and/or benefits.