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:

• FC Pro
• FTE Pro
• Data Pro