Healthcare BPO Denial Management & Appeals

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Healthcare BPO Denial Management & Appeals

Accounts receivable follow-up involves monitoring unpaid claims, identifying reasons for non-payment, and taking appropriate actions to resolve outstanding balances. Follow-up activities may include contacting insurance companies or patients to address any issues that may be delaying payment. Denial management involves identifying, analyzing, and resolving claim denials, while the appeal process allows healthcare providers to challenge and request reconsideration of denied claims.

Accounts Receivable and Insurance follow up services
  • Eligibility /Benefit Verification.
  • Case verification for No fault & Workers comp before submission.
  • Any certification or recertification requirements.
  • Follow up with Commercial , Government Payers ,Worker Comp and No fault.
  • Old A/R clean-up/wind down projects.
  • Denial Management, understanding the denial reason and taking action on the same.
  • Under Payment/refunds.
  • Resubmission/ Appeals Processing.
  • Correspondence and Data verification projects.

Our proven expertise in revenue management service will significantly improve the cash flow for your practice by reducing bad debt and write-offs.

We do understand the importance of timely filling of any claim, resubmission of corrected claim or appeal and documentation requirement to get proper reimbursement.