Urgent Cares

We deliver a comprehensive suite of tailored billing services designed to meet the specific requirements of healthcare systems. Our offerings encompass:

Insurance Eligibility Verification Services

We ensure patients’ eligibility for benefits under their insurance policies, verifying pre-authorization or referral requirements. Calculating deductibles and co-payments, our services optimize cash flow, reimbursements, and insurance eligibility verification.

Demographics & Charge Entry Services

At the core of the billing process, charge entry determines payment amounts for healthcare organizations. Our adept team accurately enters charges from the Patient FaceSheet into the patient’s account, providing precise and error-free demographic and charge entry services.

Billing & Analysis

Our meticulous medical billing team scrutinizes patient files, including doctor transcriptions, diagnostic test reports, and imaging reports. This ensures the accurate assignment of codes to performed services, preventing claim denials and underpayments that could disrupt workflow.

AR Follow-up Services

To minimize AR days, we tenaciously pursue unpaid claims. Our accounts receivable management staff promptly appeals refused and underpaid claims, ensuring timely processing and reimbursement.

Collection Services & Denial Analysis

Tracking claim denials, our collections services team identifies denial reasons, corrects errors, and resubmits claims within filing limits. We conduct a thorough analysis of denial causes to refine processes and reduce the overall number of denials.

Payment Posting

As the first line of defense against payer issues, payment posting identifies denials for medical necessity, non-covered services, and prior authorization. We assign these issues to the appropriate team for resolution, reviewing ERAs and scanned EOBs meticulously to update payment details in patient accounts.

Providers Credentialing

Streamlining the revenue cycle, we facilitate providers’ association with payers. Our billing team expedites payment processing, sets up ERAs, secures more referrals, reduces revenue leakage, and identifies provider trends.

Out-of-Network Negotiation

Employing a balanced strategy, our team maximizes savings for out-of-network claims. Using unique algorithms and extensive supplier databases, we identify areas of significant costs and negotiate for optimal reimbursement. Our diligent approach ensures that each insurance plan claim receives careful attention for achieving maximum service reimbursement.