Claims Processing

Billing and Claims

We use a first-rate billing engine and process claims through a clearinghouse and electronic data interchange (EDI) service. 

  • Shorter payment cycles allow for more accurate revenue forecasts
  • Allows us to catch and fix errors in minutes rather than days or weeks – resulting in fewer rejected claims
  • Eliminates the need to prepare claims manually repeatedly or re-key transaction data for each payer
  • We submit all electronic claims to more than 1,300 commercial and government health plans at once, rather than submitting separately to each individual payer
  • We have a  single location to manage all electronic claims
  • We receive three response files that are reviewed daily for submission errors
  • We file secondary and tertiary claims
  • Payors are contacted if claims are not processed in 30 days
  • For payors who participate we process Electronic Remittance Advice (ERAs) and we encourage Electronic Funds Transfer (EFTs)

Next page: Appeals Process

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