Third Party

Third Party Health Care Service Providers…       

• A/R Management and Collection Companies

Business Service Providers (BSP)

• Application Service Providers (ASP)

Business process outsourcing (BPO) firms

• Healthcare Consulting companies

• Benefits consulting companies

• Healthcare Technology companies

Your Pain…       

• Low collections and Huge AR Backlogs?

• Rising costs for processing services

• Distractions from pursuing your core business objectives

• Ever increasing need for IT capital expenditures

• Customer dissatisfaction

• Over staffing cost.

• Difficult in monitoring the work

Our Solution 
     
• Better Process

• Faster TAT

• Reduction in Cost by 30-40 %

• 99% Accuracy

• Increased Cash flow - Denial Management and AR Follow-up

• An office manager at your place handles the entire process with our staffs.

What You Get?    
   
We will take care of your entire Healthcare Claims processing activities.

1. We will dedicate a Phone number for your Patients to call our office customer service 24/7.

2. We will get you a Toll Free Fax number .

3. Less than 36 hours TAT upon receiving super bills

4. Save about 40-50% of your existing cost or owning billing staff

5. Follow up with insurance carriers for all submitted claims to ensure proper payment of claims in a     timely manner

6. Patient Insurance verification to minimize claims rejection*

7. Weekly production report and monthly AR aging report

8. Free patient billing and invoicing for three times

9. 90 Day payment guarantee for all Primary claims of MCR and other Commercial Carriers MCR Blue     cross excludes Medicaid and Trust Funds and Patient balance

* If you signup online Appointment scheduling services with us what we do the eligibility of the Pt    before the appointment and will notify your office the status.

How We Do?    

Process 1 : Collecting / Checking / Scanning of required documents to Our Office

Process 2 : Required data i.e. Patient Demographics, Insurance Information, Super bill, Check copies and EOB copies. Charge Entry will be updated in our software. Expected TAT of this process is 36 Hrs.

Process 3 : Payment information’s will be updated to individual claims account on daily basis based on daily document source – Check copies and Explanation of Benefits.

Process 4 : Unpaid / Denied / Rejected claims will be Analyzed, Accounted and Act upon by the AR crew which will also call various Insurance Companies for follow-up.

Process 5 : Through our Office / Client we will route submission of secondary and tertiary claims, claims with attachments, patient bills and other documents to the Insurance companies.