Verify receipt of required demographic & insurance information. Confirm patient benefits and eligibility.

Interpret provider notes and treatment administered to patients. Identify accurate procedure and diagnosis.

Accurate and timely submission of claims to the insurance carrier. Monitor claims status to ensure timely and appropriate payment. Correct and resubmit denied claims. Promptly respond to carrier requests for more information.

Expertise to ensure incorrectly paid claims are appropriately managed.

Claims are filed into the State and Federal portals to dispute payment negotiations, which are negotiated, settled, or taken to the arbitration/mediation process.

Notices of late payment are submitted to insurance companies for penalties and interest due to the provider.

Produce and distribute statements in a timely manner in order to collect patient responsible amounts.