Data entry of demographics, billing and payments
entry of new patients, demographics updates of existing patients,
billing data entry and posting of payments to your patient
accounts, is done overnight! You will see the results the
next day by logging into the web site.
Proofreading of data entry
for accuracy is something every one would like to do, but
cannot do for lack of resources. We do it!! We proofread ALL
the data entry done by us to ensure that what you gave us
to enter has been accurately entered.
Claim Validations (Scrubbing)
run all data entry through our very powerful validation routines.
These are the same checks insurance companies put the claims
through. We fix all errors that can be fixed, and clearly
flag on the web site, all items that you or your staff will
need to help us fix. This substantially reduces rejections
by insurance companies for edit reasons.
Electronic submissions of your
claims and monitoring of submissions reports
24 to 36 hours after receiving your work, all clean claims
will get electronically transmitted to insurance companies.
We also monitor and take action on all transmission reports
and electronic rejections.
Un-responded claims follow up
follow up on all un-responded claims within 30 days of submission
to confirm that they have been received by the insurance companies.
This ensures that you do not hit any timely filing issues,
and avoids unnecessary delays in your payments.
Aging report processing
though we submit only clean claims, submit to secondary insurances
soon as the primary payment is received, and regularly balance
bill your patients, some balances will continue to age. We
monitor all balances that are 60 days or greater, and take
appropriate action, either by fixing the issue, or flagging
this non-payment on the Uncollectible section of the web site,
so you can take appropriate action.
Denied Claims Appeals
our powerful claim validation routines include all edits used
by insurance companies, a denied claim for edit reasons is
almost always appealed by us, frequently resulting in additional
payments to you.
Primary Paper claims
paper claims are mailed within 24 to 36 hours after receipt
of your work. Secondary claims and patient bills are printed
and mailed immediately after payments are posted to your patient
Responding to patient billing
patient bills carry our phone number for billing inquiries,
and we answer all billing related questions from your patients.
Digitizing of your paper and
linking of scanned documents to data rows to enable instant
access of billing and payment documents
is a unique feature of our service. All the paper you send
us is scanned and digitized. We then link all the scanned
patient demographics, superbills, hospital face sheets, EOBs,
etc. to the data entry rows, enabling you to instantly find,
view and print your original documents. Click on a payment
row and instantly see the EOB used to apply the payment, or
click on a billing row and instantly see your superbill or
face sheet, etc.
Complete 24/7 access to your
the web site, you can see everything we have done on your
account, soon as we do it. The web site allows you to see
every detail you could possibly want to see. In addition,
you can run most commonly used practice management reports,
at any time you wish, from any computer with an internet connection.