Healthcare Claims Processing Services

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Medical Claims Processing - Streamlined for Quick Results

MedBillingExperts has been helping healthcare providers increase revenue by organizing their medical claims processing system. Our strength lies in our commitment to accuracy, efficiency and flexibility, which we incorporate across the entire gamut of claims process.

We follow consistent models for managing claim operations. These models have evolved through our decade long experience in claims processing and offer our clients the most optimal way to process claims. Some of these models are based on categories of rejected claims, created by special teams assigned with the task of monitoring, understanding and pursuing rejected claims.

We also provide our clients complete control over the claims process, particularly those over rejected ones. Our clients can check how the claim is progressing and analyse the efficiency of the various stages of the claim handling process.

All these, together, make our outsourced medical claims processing services cost and time effective.

Medical Claims Processing Services

We Provide a Range of Claims Processing Services

We offer end-to-end claims processing services to physician practices, clinics, care centers, hospitals and medical billing companies.
Our medical claims processing services include:

  • Managing automated receivables process such as patient eligibility verification
  • Managing primary and secondary claims reimbursement
  • Managing rejected and denied claims
  • Electronic remittance posting
  • Reporting claims and remittance
  • Patient statement processing

Our Offshore Medical Claims Processing Services Encompasses

  • Resolution of claims deficiencies
  • Verification of claims substantiations
  • Managing claim-related correspondence
  • Converting documentation into a searchable database
  • Preparation of affidavits and recommendations for distribution
  • Creation of case-customized claim forms and claims-processing requirements
  • Providing comprehensive reporting
  • Calculating and reporting payment amounts

Types of Claims Submission Process in Medical Billing that We Handle

Our comprehensive range of outsourced healthcare claims processing services covers nearly all domains of the medical field including:

  • Dental Claims
  • Insurance Claims
  • Pends/Correspondence
  • UB92/UB04
  • Miscellaneous (nonstandard/complex)
  • Vision Forms
  • Enrollment Forms Processing (EFP)
  • HCFA1500/CMS150

We can also handle claim forms related to:

  • Pharmacy
  • ADA forms
  • Provider-defined “Superbills”
  • Network claim forms
  • Pricing sheets
  • Prescription receipts
  • Explanation of benefit statements

How Do We File Medical Claims?

We follow a systematic approach to file medical claims. This can be outlined as follows:

  • Record all information pertaining to patient demographics, referring medical practitioner, CPT and ICD codes, etc. into the medical billing system
  • Scrutinize all documents for billing errors and rectify them appropriately
  • Authenticate the accuracy of customer claims
  • Interact with the insurance company for filing claims
  • Medical claims follow-up
  • Follow-up rigorously on the claims filed with the insurance company
  • Provide periodic reports on the status of each claim
  • Scan denied claims for errors, rectify them and resubmit the claims

Key Features That Sets Us Apart from Standard Healthcare Claims Processing Companies

Here are some of the key features that you get access to when you outsource medical claims processing services to us:

Accurate Eligibility Checks

  • Check patient eligibility with multiple payers from one site
  • View complete benefit profiles for patients

Systematic Error-Checking

  • Automatic error-checking to catch mistakes before submission
  • Notification of errors, including instructions for correcting

Customized Reporting and Analytics

  • Instant and ongoing reports throughout the reimbursement cycle
  • Built-in analytics views to track payments, denials, and delays

Training and Support

  • In-person and recorded training sessions for you and your staff
  • Dedicated consultant during the paperwork and implementation process
  • Ongoing support for the life of your account

Easy Claim Tracking

  • Check claim status online, in real-time
  • Access easy-to-read summaries

Why Outsource Medical Claims Processing Services to MedBillingExperts?

As a leading healthcare claims processing company in the industry, we ensure that we stay up-to-date with modern technologies and industry best practices and have invested in state-of-the-art systems to enable us to process claims electronically. Our claims collection and processing activities are fully automated enabling us to efficiently scan claims forms, archive patient records for easy retrieval, whilst significantly shortened the claims processing time. Automation has also enabled us to expand our medical claims processing outsourcing services to include a variety of health plans, medical, dental, disability, vision, prescription drugs and COBRA claims.

All this means that when you outsource medical claims processing services to an expert medical claims processing company such as MedBillingExperts, you will gain significantly in following ways:

  • Reduce claims filing and processing time by 40%
  • Increase clean-claim rate by 97%
  • Reduce 50% A/R days by correcting and resubmitting claims online
  • Lower administrative overheads
  • Access 500+ skilled manpower pool
  • Complete security of confidential patient information
  • Receive periodic reports on status of claims
  • Detect duplicate claims
  • Reduce compliance issues
  • Hike adjudication rates

When you outsource medical claims processing services to MedBillingExperts, you’ll partner with a medical claims processing company that is extremely skilled in handling multi-faceted challenges of medical claims processing, stating from volume, accuracy, speed of processing, administrative costs and regulatory compliance.

Contact us today and discover the advantage of outsourcing medical claims processing services to MedBillingExperts.

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Medical Claims Processing Articles

3 Common Errors While Claim Submission That Impacts Provider’s Collection

Claim rejections and revenue of providers have been strongly co-related. Each claim denials puts provider under a lot of pressure as it negatively affect the cash flow. These rejections and denials are the results of small errors that occurres at the time of medical billing and claim submission process.   Read More

Benefits of Electronic Claims Processing for Healthcare Industry

Is it accurate to believe that electronic claim processing is simplifying the process of claim submissions and beneficial for healthcare organizations? If not, then why IT companies are developing tools just to deal with the claims electronically, why medical groups and healthcare practitioners are spending huge amount of money in purchasing them and why today around 75% of the claims are submitted electronically?   Read More

Is Your Claim Follow Up Strategy Losing You Money

The pressure of releasing a claim on time is no joke. Medical institutions are after their concerned teams to get the money of the claim at the earliest. And, for that they are adopting strategies which might work very well at times and completely fail on other occasions. In fact, in some cases even after submitting the cleaner claim, reimbursements can be delayed due to lack of follow-up.   Read More


Clean Claims On First Submission




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