Communication with you and your staff to acquire quality data necessary to produce "clean claims", enabling the fastest payment possible from health insurance carriers

Seamless transition to our services

Practice and patient data base set up

Server set up, maintenance and support

Electronic Data Interface (EDI) enrollment for direct transmission to health insurance carriers and or clearing house utilizing up to date carrier and state specific requirements

Electronic and paper claims processing for secondary and tertiary claims

Immediate capture of software upgrades

Worker's Compensation and Auto/No-Fault claims processing

Negotiations for "prompt pay" from Worker's Compensation/Auto No-Fault carriers in states where not prohibited

Managed Care and referral/authorization tracking

Web based access to financial reports, management reports and patients' account status at any time

Patient statements, mailing and postage

Negotiation, arrangement and dunning of budget/installment payments

CPT-4 and ICD-9/ICD-10 coding analysis following National Correct Coding Initiative (NCCI) policy and National Coding (NCD)/Local Coding Directives (LCD) policies

Encounter form/Superbill design

Charge and payment reconciliations to include in office co-payment collection

Scheduled, consistent follow up on all aged claims

Identification and filing of claims for appeal, coordinating the necessary documentation required for filing, tracking denial trends and follow up of appeals in process

File backup and data storage

Toll free number for staff and patients' inquiries Inquiries accepted 7 days a week, 24 hours a day