Reduced Claim Rejections & Accelerated Appeals
We maximize the revenue recovery process with our denial management solutions. We effectively monitor every claim to identify errors and respond to clearinghouse rejections. This process has our Clean Claim Ratio at 99.8%.
Our denial management process is designed to boost earnings, shorten DSO (days sales outstanding) and ensure proper payment for the services that YOU provide!
Explore our Services
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We check daily for any claim rejections from the clearinghouse or payor. We update any necessary information such as demographic updates, payer ID updates, or other- to ensure the claim is sent back out quickly and accurately. We also contact your patients if additional information is needed to complete the rejection.
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We avoid claim resubmissions! We run claims thoroughly, with our extra layer of protection process that ensure claim edits are identified and corrected before they are submitted to the payer.
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We follow up on every claim denial by various forms of method. Such as contacting the payor’s claim department, making corrections, uploading records for medical necessity, and submitting appeals.
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We make a promise to ensure timely submission of all claims. In the event that we have not met our promise, we will credit you back for the full allowable amount.