We process different types of remittances received with a high degree of accuracy, improved responsiveness, and follow the procedures defined by our clients. We perform the following services:

1. Patient Payments: We receive point-of-service payments made by patients, whether in cash, check, or credit card. These payments cover co-pays, deductibles, or non-covered services. Our team carefully reviews and adjusts this information against individual patient accounts.

2. Insurance Posting: We process Insurance Payments in two primary formats:

   a. Electronic Remittance Advisory (ERAs): High volumes of ERAs from payers are batch-processed, importing them into the client’s practice management system. Exception handling is a crucial part of our process. We verify batch totals and rectify any discrepancies.

   b. Manual Posting: Clients often send scanned Explanation of Benefits (EOBs) via secure FTPs or EHR systems. These EOB batches are processed according to the client’s business rules for adjustments, write-offs, and balance transfers to secondary insurance or patients.

3. Denial Posting: Accurate management of claim denials is vital for a comprehensive understanding of the accounts receivable cycle. Payers return denied claims with ANSI codes or payer-specific medical coding guidelines. We specialize in deciphering payer-specific denial codes and ANSI standard denial codes. Each denial is documented in the practice management system, and we take necessary actions such as re-billing, balance transfers, write-offs, or reprocessing, as required.