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To lessen the chance for a denied claim our staff maintains a weekly reconciliation procedure that is completely paperless. After the remittance and status report are imported, payments are automatically posted. If there are any denied claims, they are instantly resubmitted. With the reconciliation, claims can be viewed by status, age or details.
Every week an 835 file is directly downloaded from your state's website into our system that contains payment and denied claim information. Once this file is imported it automatically posts payment for each claim. If there are any denied claims, they are also identified. Our unique system allows the ability to research the reason for a denied claim, resubmit for payment, generate a new claim to bill, reveal the status of each claim, provide an aging report, determine if partial or full payment was received and on rare occasion write off the claim.
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