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PROFESSIONAL MEDICAL BILLING & MGMT.
Our follow-up philosophy:
Our follow-up department ensures that every line of service on every claim is reimbursed. Follow-up specialists are trained to investigate carriers’ reports and determine why the service(s) is not paid, as well as which steps need to take place in order to receive payment. Follow-up is a standard process we use to resolve insurance denials of claims based on reasons such as: "there is no claim on file with insurance company" (we resubmit immediately with proof of timely original submission); "additional information is required to process this claim," such as medical records or assignment of benefits (we contact your office for this information and forward it to carrier in timely fashion); "insurance is terminated or another insurance is on carrier’s files" (we contact your front desk and, if needed, your patient to obtain correct insurance information and resubmit accordingly).