Data Verification and Submission
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Eligibility Verification: Rigorous verification of each patient's insurance eligibility and benefits to avoid claim denials and delays.
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Assistance with EDI, ERA, and Provider Enrollment: Expert assistance with electronic data interchange, electronic remittance advice, and provider enrollment processes for smooth data exchange.
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Electronic and Paper Claims Submission: Efficient management of both electronic and paper claims submissions, ensuring speed, accuracy, and adherence to all regulations.
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Referral and Authorization: Streamlined handling of referral and prior authorization processes to ensure continuity in patient care and billing.
Receivables and Payments Management
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Account Receivables Management: Effective management of your accounts receivables, ensuring timely follow-up and reduced pending payments.
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Aged Receivables Recovery: Specialized services to tackle old account receivables for maximum revenue recovery.
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Posting of Insurance and Patient Payments: Accurate posting of all insurance and patient payments for real-time financial data.
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Secondary Insurance Billing: Skilled handling of secondary insurance billing to ensure no potential revenue is missed.
Patient Communication and Claim Denials
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Patient Communication Services: Management of all incoming patient calls, addressing any billing concerns and providing clear explanations of charges and payments.
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Patient Statement Processing and Mailing: Comprehensive processing and mailing of patient statements for clear and prompt communication with your patients.
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Denial Review and Management: Complete denial management services, including thorough review and appealing of all denied or low-paid claims.
Additional Services
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Charge Entry for all Specialties: Accurate and prompt charge entry services across all medical specialties to eliminate billing errors.
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Negotiation Services: Conducting negotiations on your behalf to ensure the best financial outcomes for your practice.
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Extensive Insurance Follow-up: Diligent follow-up with insurance providers for timely and accurate claim settlements.
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Management Reports: Detailed and insightful management reports for data-driven decision making.
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Law Offices Liens: Effective handling of law offices liens to protect your financial interests.