Our Services

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What is ERL Rejection Management?

ERL Rejection Management refers to the process of reviewing and resolving claims rejected by Electronic Remittance Advice (ERA) or ERL. It involves identifying the reasons for rejection, correcting errors, and resubmitting the claims to insurance companies for payment. By addressing these rejections promptly, we ensure that your practice receives timely payments and minimizes revenue loss.

How We Handle ERL Rejection Management

Our team of billing experts works diligently to review and rectify rejected claims. We start by identifying the root cause of the rejection, such as incorrect codes or missing information. After correcting these errors, we resubmit the claims and track their progress to ensure successful reimbursement.

• Quick resolution of ERL rejections to prevent delays in reimbursement.
• Proactive claim management to avoid future rejections.
• Improved cash flow and reduced administrative burden for your practice.

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What is AR Solutions?

Accounts Receivable (AR) Solutions is the management of unpaid claims and overdue balances. We help healthcare providers recover the revenue they are owed by following up with insurance companies, negotiating settlements, and managing the entire AR process. Our goal is to ensure your practice’s accounts receivable are efficiently managed and that outstanding balances are collected in a timely manner.

How We Manage AR Solutions

We take a comprehensive approach to AR management. Our team works diligently to track unpaid claims, resolve disputes, and handle follow-up calls. With our AR solutions, we ensure that all overdue accounts are addressed swiftly, and payment is collected quickly.

• Fast and efficient claims follow-up to reduce outstanding balances.
• In-depth analysis of denied claims for proper resubmission.
• Regular reporting to keep you updated on the status of your AR.

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What is Pre-Authorization Management?

Pre-authorization management is the process of obtaining approval from insurance companies before certain procedures or treatments are performed. This ensures that the patient’s insurance will cover the costs of the services provided. We handle the entire pre-authorization process, including submitting the necessary documentation and following up with payers to secure timely approvals.

How We Handle Pre-Authorization Management

Our pre-authorization team works closely with healthcare providers and insurance companies to secure approvals for medical treatments and procedures. We ensure all required forms and documentation are submitted accurately, reducing the risk of delays or denials.

• Efficient submission of pre-authorization requests.
• Constant follow-up to ensure timely approvals from insurance providers.
• Reduction in service delays due to pre-authorization issues.

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What is Payment Posting?

Payment posting is the process of recording payments made by patients or insurance companies and ensuring they are applied accurately to the appropriate accounts. We ensure that payments are posted promptly and accurately, allowing you to maintain accurate financial records.

How We Handle Payment Posting

We match payments to the corresponding claims and patient accounts to ensure accurate posting. Any discrepancies or issues are promptly identified and addressed, ensuring that your financial records remain accurate and up-to-date.

• Prompt payment posting to maintain accurate financial records.
• Timely reconciliation of payments with patient accounts.
• Clear reporting and updates on payment statuses.

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What is Patient Calling?

Patient calling services involve contacting patients to remind them of outstanding balances, schedule payments, or address any billing questions. We provide a professional, friendly, and empathetic approach to ensure that patients feel comfortable while settling their debts.

How We Manage Patient Calling

We follow up with patients regarding their unpaid balances, offering solutions such as payment plans or billing adjustments. Our goal is to help patients resolve their accounts while maintaining a positive relationship with your practice.

• Friendly and professional communication with patients.
• Clear explanations of outstanding balances and payment options.
• Flexible payment plans to accommodate patients’ financial situations.

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What is Correspondence Management?

Correspondence management involves handling all communications with insurance companies and other third parties regarding claims, appeals, and payment issues. We manage all necessary paperwork, including claims appeals, re-submissions, and inquiries, to ensure that your practice receives the proper reimbursement.

How We Handle Correspondence Management

We manage every aspect of correspondence with insurance companies, from initial claims submissions to appeal submissions and follow-ups. Our team ensures all correspondence is handled promptly and accurately, reducing delays and ensuring successful outcomes.

• Efficient management of all insurance correspondence.
• Timely submission of claims appeals and re-submissions.
• Accurate tracking and reporting of correspondence progress.