Prior to submission, each claim is reviewed for any errors or irregularities.
We will contact the insurance companies to obtain authorizations. We understand you and your providers are busy. We will integrate with your team to obtain the necessary information to complete these authorization requests. If needed, we can even help coordinate peer to peer appeals for authorizations.
Once we receive notification an insurance company has paid you, we reconcile each claim on the corresponding remit. A monthly report of all payments you were paid is sent to you. This way you don’t have to worry if there are payments missing from your bank account! We will even reconcile your deposits for you and ensure you are getting every penny!
Any underpaid or denied claims are worked immediately. This is done through appeals, gathering updated patient information, and having claims reprocessed. We will contact the insurance companies so you don’t have to wait on hold!
We will also follow up on the patient balances for you and make sure your front staff is aware of what they should be collecting at the time of each appointment. This includes changes in benefits, when a deductible is met, past balances due, and missing coordination of benefits. Don’t worry if you do not understand these terms; we would love to help explain these to you, your staff, and even your patients when needed!
In the event your staff and ours have exhausted all resources, we are prepared to help connect you with a collections agency and handle the reporting for you as approved.
We will handle ALL patient balance billing phone calls. These calls won’t even ring into your office, saving your staff valuable time to do the work you need them to do.