Step-by-Step Detailed Process

PATENT Scheduling & Registration

Insurance Verification & Eligibility Check

Insurance Verification

Insurance/ Service Eligibility Check

Prior Prior Authorization Consent

Obtain-Prior Authorization

Medical Coding (CD :10 CPT, HCPES)

Encounter/Service (CD :10 CPT, HCPES)

Claims Scrubber/Ed

Payer Adjudication

Claim Denied/ Underpaid?

Account Settlement

Claim Submission (EDI/Paper)

Payment Posting & Reconciliation

Denial Management & Appeals

Denial Management Appeals

Account Settlement

Settiting

Patient Billing

Patient Billing

Collections & Appeals

Collections & Appeals

ANALYTICSS & REPORTING - REM Performance #PIS - De Le: feeds - Finansic Reports - Payer Mix Analysis