Breakdown Of Our Billing Process

Breakdown Of Our Billing Process

Patient Registration
Patient Registration

Creating a user account using patient’s demographic and insurance information

Insurance Verification
Insurance Verification

Verify that the patient's insurance plan covers the services being requested

Pre-Authorization
Pre-Authorization

Obtaining prior approval from an insurance company before providing certain medical services

Charge Entry
Charge Entry

Entering the services’ charges into the medical practice’s billing software

Claims Submission
Claims Submission

Submitting the claims to the insurance companies for payment

Payment Posting
Payment Posting

Updating the medical practice’s billing system with the payments received from insurance companies and the patient

Denial Management
Denial Management

Any denied claims are resubmitted, as the insurer could have denied a claim for non-insurance related reasons

Accounts Receivable (A/R) Follow-Up
Accounts Receivable (A/R) Follow-Up

Following up with the insurer to clear any unpaid claims.

Patient Collections
Patient Collections

Collecting payment for any outstanding balances from patients

Reporting
Reporting

Determining areas for improvement by generating reports that track the financial performance of the medical practice

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