INSURANCE BILLING SERVICES
Our Insurance Billing Service Helps to Improve Receivables, Resulting in Greater Net Income
We accomplish this by:
Effectively managing all denied claims: We work quickly to investigate the cause of the denial and appeal the claim if possible
Preventing claim denial: We review claims for clerical errors and gather missing information from the patient before submitting the claim to reduce the chance of denial
Posting EOBs Daily: Contract adjustments and payments are posted to the patient ledgers
Submitting claims and attachments electronically: We can help you transition from a paper claims system to an electronic claims system
Monitoring aging reports: We track overdue claims, amounts collected, accounts receivable balances, and appeals
We Simplify the Cost of Insurance Billing
The cost of our service is based on the volume of collections per month. Our fee structure provides clarity and avoids the confusion that can arise when fees are based on the value of the claims or whether the payments are posted to patients’ accounts.
All primary and secondary insurance claims are submitted electronically each day, including electronic attachments. Each claim is reviewed before it is sent to the insurance company to minimize denials. When a claim is wrongfully denied, we will investigate and appeal the denial.
We also maintain efficiency by providing timely notification of patient procedures that did not have insurance claims associated with them.
All insurance payments and adjustments are accurately posted to the patients’ ledgers within 24 hours from when the EOB becomes available. We also work to maintain accuracy by contacting patients for missing or incorrect information. We continually keep the patient’s file accurate and up to date.
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We provide a structured process for monitoring insurance claim aging reports and tracking how many past-due claims were appealed, the amount collected, and the accounts receivable balances between 30, 60, and 90 days past due. Claim balances more than 30 days past due are followed up on every two weeks.
Keeping You Informed
Summary reports are sent to your office at least once a week to keep you up to date on collection efforts. In our reports, we fully disclose all the insurance company representatives we work with and notify you of any issues slowing down collection efficiency.