Claims Management

Nothing sits in a workqueue

We monitor payer acknowledgements and rejection reports daily. Claims that were not accepted are corrected and refiled while the filing window is still open, and every open claim has documented follow-up activity.

Visibility at the claim level

Your reporting shows submitted volume, acceptance, rejections, denials and outstanding claims by payer and provider — so you can see exactly where a claim is in the process.

What is included

• Charge entry and demographic validation
• Coding and modifier review
• Claim scrubbing against payer edits
• Electronic submission through your clearinghouse
• Paper claim support where required
• Payer acknowledgement and rejection review
• Corrected claim resubmission
• Secondary claim coordination
• Claim status follow-up
• Submission and acceptance reporting

Questions about claims management