Insurance Claims Processing

Electronic Submission of Claims :

In this era of digitalization submitting insurance claims electronically can only help practices stay ahead in the race. By the way of electronic claims, it is easy to reach out more than 2,500 government payers and private insurance companies. The traditional way of paper claims can be added as a supplementary to support the process. Also with this electronic claims submission process, getting updates on the status of the claims has been made easy. At Medicalbillingstar, the method of electronic claims submission has enabled our clients to transmit their claims instantly, bringing down the processing time to a great extent. This in turn reduces their credit risk and at the same time boosts up their cash flow management.

Submitting Primary And Secondary Electronic Claims :

Once the charge entry process is done, we authenticate your claims against government and other payer rules and regulations.On completing the above procedure, we process your primary and secondary electronic claims in the ANSI 837P format to more than 2,500 government and other private insurance companies and payers countrywide. Medicalbillingstar uses world-class medical billing software through which we submit electronic claims directly from within the software. We have tie ups with thousands of insurance companies all over the country. Your electronic claims processing is done in a very short span of time, lesser than 2 business days many a times. We assist you in the entire process right from charge entry till the fullest re-imbursement from the payer.

Supportive Paper Claims :

At times certain insurance claims raised require additional paper claims to be attached. Such claims need to be submitted on paper claims forms. There are different claims forms offered for primary and secondary claims. Generally CMS 1500 forum along with the NPI (National Provider Identifier) is used by most of the insurance companies. At times the state-specific and worker’s reimbursement claims forums are used for submission. Medicalbillingstar is equipped with sophisticated claim settings in our billing software to tailor the provider and group numbers on the forms.

Transparent Claims Processing Reports :

MedicalBillingStar offers several stages of reporting once your claims travel through the claim submission and settlement process. We have a thorough in-house clearing service to review all the raised claims and report on omitted data like patient information, inappropriate policy numbers or missed out provider or group numbers and other invalid information in the claims. Once your claims are through our in-house clearing unit, we pass on the claims to several clearing houses those have associated with us. The clearing houses once again scrutinize your raised claims and send us reports stressing various payer-specific reasons for claims denial or rejection. Once claims are delivered to the insurance companies and other payers, they provide us with reports with reasons for justification incase of claims denials. Once claims are re-imbursed you receive the electronic remittance advice(ERA) reports.

Handling Rejections And Denials :

We at MedicalBillingStar post and track information on claim denials and rejections. We are well-equipped with effective denial management and collection management tools. We handle rejections and denials through collecting missing data, re-submitting revised electronic claims within the specified time-line.

At MedicalBillingStar, with renowned medical billing software and a perfectly blended electronic claim submission process, practices can get paid faster from the insurance companies and other payers. This greatly reduces the hindrances and disruptions in the effective cash flow of the medical practice. Call us to know more. Our customer support team works 24*7*365 days. Reach us @1 - 877 - 272 - 1572 or just drop in your details and query at the form here.

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