Provider Credentialing

For health care providers, medical credentialing is the process of getting networked with insurance companies. Getting credentialed (or on insurance panels) involves retrieving and filling out a series of applications with insurance companies (which takes upward of 10 hours per panel), submitting the applications to insurance companies, ensuring each has received your application, and then doing a lot of follow up to track the progress of each application

Appointment Scheduling

Flawless patient scheduling is one of the key aspects of the healthcare industry. Being able to tackle patients efficiently and on time is crucial to patients’ wellbeing and to the reputation of doctors, physicians or clinical establishments.

Eligibility Verification

Eligibility Verification Service makes sure that the insurance claims of your patients are checked thoroughly so that they are eligible for the reimbursement. Hence, the smooth flow of the Revenue Cycle Management of a healthcare system is directly proportional to the efficiency of the eligibility Verification service that you have employed

Prior Authorization

Prior authorization is a requirement that your physician obtains approval from your health care provider before prescribing a specific medication for you or to performing a particular operation. Without this prior approval, your health insurance provider may not pay for your medication or operation, leaving you with the bill instead.

Demographics Entry / Patient Registration / Intake

Patient Registration/Demographics Entry. Data capturing is the first step in the entire claims reimbursement cycle. We thoroughly review patient intake forms and our experienced billers enter them into Electronic Health Records Software or Practice Management Software

Charges Entry

Charge entry process plays a crucial role in overall billing management. Charge entry is a process where actual claim is created for a particular date of service. A claim is the most important aspect for getting reimbursements. We give high importance for accurate charge entry in order to submit clean claims.

Electronic Claims Transmission

Patient Registration/Demographics Entry. Data capturing is the first step in the entire claims reimbursement cycle. We thoroughly review patient intake forms and our experienced billers enter them into Electronic Health Records Software or Practice Management Software

Rejections From Billing Software / Clearing House

Rejections are claims that do not meet specific data requirements or basic formatting that are rejected by insurance according to the guidelines set by the Centers for Medicare and Medicaid Services. These rejected medical claims can’t be processed by the insurance companies as they were never actually received and entered into their computer systems. If the payer did not receive the claims, then they can’t be processed. Both billing software and clearing house rejections will be fixed on high priority.

Payment Posting

We provide high quality, accurate and efficient payment posting services. We post all your payments to respective patient accounts on the same day. We post, balance and reconcile all payments received within 12-24 hours. Our daily reconciliation process assures smooth month-end closing. All payments received for the month are accurately accounted and matched to actual deposits.

Patient Statement

We provide high quality, accurate and efficient patient billing statements solution for providers who want to expedite patient payment collections. We deliver clear and concise statements to patients quickly and efficiently, thereby helping you receive payments faster and lower your third-party collection costs and decrease your risk of bad debt

Charge Entry