Credentialing & Enrollment
Credentialing and Enrollment is a service that helps healthcare providers get credentialed and enrolled with payers (Insurances). Credentialing and enrollment service can help providers get credentialed with a wide variety of payers, including Medicare, Medicaid, and commercial insurers.
Eligibility & Benefits Verification
Eligibility and Benefits Verification is a service that helps healthcare providers verify patient eligibility and benefits. This service can help providers avoid claim denials and improve cash flow. The service also includes a number of features that can help providers avoid claim denials, such as real-time eligibility checking and prior authorization management.
Demographic Entry
Eligibility and Benefits Verification is a service that helps healthcare providers verify patient eligibility and benefits. This service can save providers time and money by outsourcing the data entry process.
Pre-Estimate & Authorization
Pre Estimate & Authorization is a service that helps healthcare providers get approval for their services before they are rendered. This service can help providers avoid surprise billing and improve patient satisfaction and reduce denials.
Rejection Managment
Rejection Management refers to the process of identifying, analyzing, and resolving rejected claims. Rejection Management involves systematically reviewing these rejected claims, addressing the underlying issues, making necessary corrections, and resubmitting the claims for processing. This ensures timely and accurate reimbursement, optimizes revenue flow, and minimizes payment delays for healthcare practices.
Payment Posting
Payment posting ensures that the financial transactions between healthcare providers and insurance companies or patients are accurately reflected in the billing system. This process helps maintain accurate patient account balances, track outstanding payments, and identify any discrepancies or errors in the payment information. This service can save providers time and money by automating the payment posting process.
AR Follow Up And Denial Management
AR Follow Up and Denial Management is a service that helps healthcare providers collect payments on their accounts receivable and resolve denied claims. This service can help providers improve cash flow and reduce the risk of bad debt.
This process involves tracking and managing outstanding accounts receivable, which are payments owed to the healthcare provider by insurance companies or patients.
Denials occur when claims submitted for reimbursement are rejected by insurance companies for various reasons. Denial management is the process of identifying the root causes of claim denials, addressing the underlying issues, and resubmitting corrected claims to ensure successful reimbursement.