Insurance Claims Follow up
Claims are followed up systematically and quickly. We diligently pursue your claims for maximum insurance reimbursement and appeal your denials.
- Our expert medical billing follow up team aggressively pursues all unpaid insurance claims. EOBs and claims are assessed, prioritized and handled on a claim by claim basis.
- Claim denials are always handled by an appeal. Once the denial is evaluated, we utilize our appeal process to handle incorrect claim denials. Claims are never written off without being appealed first.
- Follow up is handled utilizing our electronic clearinghouse, insurance websites and direct contact via telephone. We are experts at getting through to the insurance companies to dispute improper denials and slow payments.
What We Do For You
Charge Entry
Claim Submission
One Point of Contact
Accounts Receivable
Denial Management
Customized Reports
Charge Entry
surgical and diagnostic procedures, plus labs.
CORE OBJECTIVE caters to a variety of medical specialties. We will post, review and submit all office charges, hospital visits, surgeries, and diagnostic and laboratory tests, to ensure accuracy, completeness and proper coding.
- Our expert charge posting team reviews all charges for completeness and accuracy. Incomplete or incorrect insurance claims result in timely delays.
- We provide you with CPT, ICD-9 and HCPCS coding expertise to ensure maximum insurance reimbursement from accurately coded claims. We stay on top of all procedural and coding changes and updates.
- We update all patient demographics and insurance, and maintain insurance information.
- We post and submit your charges daily to ensure that your practice maintains a constant flow of revenue.
Insurance Claim Submission
with timely payment/EOB posting.
We submit insurance claims electronically through our electronic clearinghouses, eliminating substantial delays in insurance claims processing.
- Electronic insurance claim submissions guarantees the fastest rate of payment for your claims. Insurance companies give priority processing to electronic claims rather than paper claims.
- Claims are subject to a three level scrubbing process, by our practice management software, through clearinghouses, then at the insurance company. Claims that are incomplete or incorrect are rejected, returned to us immediately and can be fixed right away and resubmitted most often within minutes.
- Immediate claim acceptance and receipt for tracking. No more “lost” claims and no more timely filing denials.
- Real time transactions including immediate eligibility verification.
- Claim follow up is also done through clearinghouses eliminating having to wait 30 days or more for a paper EOB.
Insurance Claim Follow Up
follow-up procedures.
Claims are followed up systematically and quickly. We diligently pursue your claims for maximum insurance reimbursement and appeal your denials.
- Our expert medical billing follow up team aggressively pursues all unpaid insurance claims. EOBs and claims are assessed, prioritized and handled on a claim by claim basis.
- Claim denials are always handled by an appeal. Once the denial is evaluated, we utilize our appeal process to handle incorrect claim denials. Claims are never written off without being appealed first.
- Follow up is handled utilizing our electronic clearinghouse, insurance websites and direct contact via telephone. We are experts at getting through to the insurance companies to dispute improper denials and slow payments.
Insurance Denial Management
pieces fast, and refile or appeal the denial.
Insurance Denials and Appeals
Claims that have been rejected or denied are carefully reviewed and resolved as quickly as possible. We utilize a three level appeal approach and handle incorrect denials by calling the payers directly, appeal in writing with supporting documentation, and if necessary utilize the administrative appeals approach to submit higher level appeals.
- In instances when a simple phone call can be made to the payer to discuss an improper denial, we call immediately. This is the fastest way to get a claim reprocessed or resolved. We also utilize the payer’s website to submit corrections for quicker response.
- We will carefully review the denial and request supporting documentation from your office and submit a written appeal to the payer when claims have been denied incorrectly. Our appeals are then carefully tracked and escalated if necessary.
- Claims that are still denied incorrectly after the appeal has submitted will either be handled directly with the local provider representative or we will escalate the appeal utilizing the payer’s administrative appeals process.
- We will also verify that your reimbursements correspond to your negotiated fee schedules and appeal any underpayments as necessary.
Revenue can be lost nearly anywhere in the billing cycle. So, our list of services covers the entire spectrum – from patient registration to collections. Below is just a short listing of our comprehensive services.
Only need to outsource certain tasks? We’ll work with you to determine the best plan for your practice’s bottom line.
CORE OBJECTIVE SOLUTIONS, LLC. relieves the burden of insurance and patient billing once and for all. You and your staff will have more time to do what you love and do best – provide the quality care your patients deserve.
Our comprehensive services are designed to maximize your profit while minimizing your costs. Let us take the stress out of your billing cycle.
