Charges are scrubbed for accurate and proper coding along with other required payer edits. Either from the provider's EHR/EMR or manually.
Claims Follow-up
Management of denied or rejected claims, resubmission of denied or underpaid claims, appeals management and submission of corrected claims as necessary
Reporting
Reporting available via provider's medical billing system that can be customized based on needs.
Electronic or Paper Claim Submissions
Claims submitted electronically through a clearinghouse or directly on payer portal.
Paper claims submitted via mail.
Daily or weekly claim submissions.
Patient Eligibility & Benefits Verification
Verification of policy status, patient responsibility, and coding needs.
Transcription
Transcription of voice-recorded medical reports/notes dictated by the provider.
Payment Posting
Insurance and patient payments posted promptly and accurately into provider's medical billing software.
Patient Statements
Creation of patient statements after payer adjudication is received on a monthly basis.
