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Insurance Claims Processing
Processing health care insurance claims is an uphill task for healthcare providers. And during critical times, like that of a Covid19 pandemic, the number of transactions can overwhelm your billing department. Improper management of insurance claims processing can lead to costly errors and even compliance violations. Delegating claims processing healthcare to a medical claims management company is the best available option for providers to save on money and time expended in managing the process and ensuring accuracy.
MedFix effectively integrates technology, experienced personnel, and flexibility to provide end-to-end medical insurance claims processing services. We understand that for every claim that is not closed on-time, the administrative costs incurred will go up. For that reason, we strive to reduce the open-to-close ratio for our clients. From our team of experienced domain experts to our established processes and from our global delivery centers to our modern claims management system, we ensure every claim is processed correctly for clearance at the very initial submissions.
Why Insurance Claims Processing with us
We Help You Minimize Claims Processing Errors. Here’s How:
Our Process
Our medical insurance claims processing steps consist of the following
Review Claim Forms
Receive new claims check for
eligibility and errors
in coding and billing
Check for Payer Rules
Pre-adjudicate the claim to make it accurate and in keeping with payer guidelines
File Claims
File the processed claim with the insurance company and get claim status number
Review Denials
Receive and review denied claims and resubmit them for review
Follow up
Follow up with payers on resubmitted claims or wrong denials