Claims Billing

Claims Scrubbing

Before sending out the claims to insurances, they are scrubbed for correcting any data errors such as insurance setup errors, referring provider details etc. The various procedures and diagnostics are also checked for errors in the light of correct coding initiatives (CCI) and local medical review policy (LMRP).


Majority of the claims go electronically, as our software has integrated clearing house. So you get reimbursed on time, with most of the payers. You are also given the option to receive the remittance electronically. Thus making the whole process paperless and contributing our bit to the environment.

Timely A/R Followup

An insurance based claims matrix is created. The AR team works on all claims that cross the 15 day period, thus the payment time of 80% of the claims fall within the 30 day period. We have a dedicated team working on all denials and rejections to keep your payment cycle in good shape.

Payment verification

The payments received are verified against your contract with the insurance to make sure you are paid as per the agreement. All the payments are appropriately posted and adjusted as per the contractual agreement. Patient billing is done at the time of payment posting. We analyze data to make sure that claims are not denied by a payer for a specific reason, to avoid any mass denials and to filter our procedure to catch such errors.