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Insurance Claims ProcessingSwift & Accurate Claims Auditing / Submission:Claims are entered, audited for any potential conflicting coding or ANSI 5010 formatting issues, and submitted for processing on a daily basis. 99% of claims are submitted electronically to ensure the payor receives the claim within 24 hours of submission.
Our team constantly monitors and tracks claims through the different stages of electronic processing: - Before submission, claims are audited or "scrubbed" on multiple levels, then submitted to the clearinghouse - Claims are audited by the clearinghouse for potential syntax errors/edits and forwarded to the payor(s) - Payors acknowledge receiving claims and accepting for adjudication - Payors acknowledge the claims have been processed and finalized for payment READ ABOUT INSURANCE CLAIM DENIAL MANAGEMENT
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