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Medical Claims Processing
MedFix experts has been helping healthcare providers increase revenue by organizing their medical claims processes. Our strength lies in our commitment to accuracy, efficiency and flexibility, which we incorporate across the entire gamut of healthcare claims processing services.
We have developed a robust model for managing claims operating for our clients. Some of these models are based on categories of rejected claims, created by special teams assigned with the task of monitoring, understanding and pursuing rejected /denied claims.
We also provide our clients with complete detailed reports over rejected claims. As one of the leading medical claims processing companies in the industry, our clients can check how the claim is progressing & analyze the efficiency of the various stages of the medical claims management process.
All these, together, make our medical claims processing services cost and time effective.
Why Medical Claims Processing with us
We Help You Streamline Medical Claims Processing. Here's How
Our Process
Our Well-Defined Health Insurance Claims Process
Data Entry
Record all relevant information, i.e. patient demographics, CPT codes, etc.
Correct Billing Errors
Scrutinize all documents for billing error and resolve them
Adjudicate Claims for Accuracy
Authenticate the accuracy of every medical claim
Prepare Explanation of Benefits (EOB) Statement
Generate an EOB containing important details about the claim.
Claims Filing
File the claims with the insurance company
Claims Follow-Up
Conduct rigorous claims follow-up with the insurance carrier
Claims Status Update
Inform client about the status of their claim
Evaluate and Resolve Denied Claims
Process denied claims and resolve all errors
Resubmit Corrected Claim
Conduct final claims submission of corrected claim