Payment Application
Our goal with this service is to apply your payments timely and accurately. We recognize and pursue incorrectly paid claims at the time of payment posting. We continuously monitor contractual adjustments for accuracy and challenge unpaid down-coded items We get even the uncommon codes right.
Key Benefits
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Maximize reimbursement through Line Item Posting
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Ensure Contractual Adjustment Accuracy
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Policy and Contract Knowledge to collect the correct amount
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Timely filing of Secondary Insurance Claims
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Timely Open Balance Follow-up with insurance companies and patients
Capabilities
Our understanding of the contractual issues that cause claims processing errors, and our ability to recognize them at the time of payment posting, enables us to achieve high recovery rates economically. Posting payments is more than entering information into a computer. It is critical that the person posting payments can accurately assess the completeness of the payment and initiate the action required to recover underpaid claims. Insurance companies routinely make mistakes - not recognizing contracts, applying inappropriate discounts, skipped line items, It is also critical to long term success, to fix the problems causing claims processing errors whenever possible. Feedback internally to the Billing Team and the Contract Maintenance Team, as well as externally to the Clinic and Provider Relations are essential to both fixing the current problem and preventing it from happening again.