Insurance Billing & Coding

Our billing experts effectively and efficiently address all of your billing and coding needs
 

• Electronic insurance claim submission; primary and/or secondary
   

• Tracking and monitoring of authorizations
   

• Appealing in-network and out-of-network denials, time delays, and underpayments
   

  • Our appeal specialists will determine the reason of denial, gather all information required to get the claim paid, and work diligently to reverse the payer's denial and obtain reimbursement
     

  • With out-of-network cases when legal action is required, we work with law firms experienced with out-of-network arbitrations. This is vital to setting a precedent for insurance companies dealing with your organization and ensures that you are fairly compensated
     

• Addressing all insurance questions from insurance companies and/or patients
   

• Negotiation of out-of-network reimbursement rates
   

  • Before each negotiation, we complete comprehensive research, gaining a deep knowledge of ​the patient's history and plan's benefits​. We then negotiate on your behalf, consistently pushing for the highest pay out. Throughout the process, we track our success and provide you with updates
     

• Knowing exactly how to approach each situation by systematically tracking negotiation history and utilizing an approach that has been successful in the past for each plan