The process of claims submission involves parsing of claims information from the revenue cycle system to the clearinghouse and addressing any throwbacks. The scrubbing process enables in the identification of claims that are not correct and enables the medical billers to address the claims.
Components of Our Claims Submission and Rejection Management Processes
Batch run from the RCM system to the clearinghouse system
Updates as appropriate to the exceptions
Parsing to the Payer Systems and corrections as appropriate
Benefits of our Claims Submission and Rejection Management Process
Our work edits team members address the issues with the claims proactively and eliminate denials. We offer our clients the following benefits:
Improved turnaround time (24-48 hours), productivity, and accuracy
Avoid claim denials and get higher and quicker reimbursement
Documentation of all business rules
Daily account support calls to address any issues
Reduce costs by as much as 50% through offshore delivery
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