Provider Enrollment and Credentialing
Demographic Verification and Eligibility Check
Ensure that patients hold adequate insurance coverage before they schedule an appointment.
Manage Electronic Claim Submissions
Create claims, submit to clearinghouse, insurance provider. or another claims vendor.
Post Patient & Insurance Payments
Collection and posting patient co-pays and entering payments and adjustments from insurance EOBs.
Manage Claim Denials & Account Receivables
Determine whether additional documents is needed , make necessary claim corrections and re-submissions