To address Violet’s concerns, we implemented the following solutions:

Security: We assured Violet of our best-in-class security measures, retrieving information from the eClinicalWorks EMR in the ADTHL7 format and receiving patient and order information in the RU HL7 file format.

Efficiency: We demonstrated our capability to submit accurately coded and thoroughly scrubbed claims within 12 hours by detailing our comprehensive process, including eligibility checks, demographic verification, accurate coding, and thorough claim scrubbing.

Communication: We provided Violet with regular financial reports, which she could e-sign, and conducted regular audits on the billing and coding process. We ensured that the reports were not just sent but discussed to develop practice-specific solutions.

Expertise: We showcased our expertise in handling secondary claims by entering precise primary insurance details and managing the complexities of CAS segments. Additionally, we assured her of our proficiency with paper claims, backed by years of experience.

Adaptability: We confirmed our extensive experience working with various clearinghouses and our wide network. Our expert denial management team handled clearinghouse rejections by analyzing, correcting, and resubmitting claims promptly.

Record-Keeping: We recorded every telephonic or mail correspondence with patients and sent these records to our clients, delighting Violet.

Team Interaction: We gladly arranged for Violet to meet our team to exchange ideas and conduct audits at her convenience.