The Follow-Up Process

Check Claim Status: Utilize Insurance company websites and payer portals to monitor outstanding claims, ensuring timely follow-up and resolution.
Automated Follow-Up (IVR): Implement automated systems for claims follow-up, enhancing efficiency and reducing manual workload in tracking claim statuses.
Live Representative Communication: Engage with live Insurance company representatives to obtain detailed reasons for claim denials when unavailable via online resources or IVR.
Claim Correction and Resubmission: Rectify and resubmit claims as necessary, addressing errors and ensuring accurate processing for timely reimbursement.
Identify Discrepancies: Detect and address discrepancies and carrier issues related to billing and reimbursements, ensuring accuracy in claim submissions.
Process Payer Codes: Complete and process claims with appropriate payer codes, adhering to industry standards for accurate billing and reimbursement.