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Medical Billing

Comprehensive medical billing support designed to help healthcare providers manage claims, payments, reimbursements, denials, and revenue cycle processes efficiently.

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Services Included

Eligibility & Benefits

  • Eligibility & Benefits Verification

  • Patient Insurance Verification

  • Patient Demographics Entry & Maintenance

  • Insurance & Payer Information Management

  • Primary, Secondary & Tertiary Insurance Billing

  • Coordination of Benefits (COB)

  • Authorization Requests & Tracking

  • Referral Management

Claims Creation & Submission

  • Charge Entry

  • Claim Creation & Submission

  • Electronic & Paper Claim Submission

  • CMS-1500 / UB-04 Form Knowledge

  • Clearinghouse Rejection Resolution

  • Claim Status Follow-Up

  • Claim Examiner / Claim Review

Payment Review & Posting

  • Payment Review & Posting of ERAs/EOBs

  • Electronic Remittance Advice (ERA) Management

  • Explanation of Benefits (EOB) Review

  • Underpayment & Overpayment Review

  • Payment Reconciliation

  • Insurance Payment Posting

  • Patient Payment Posting

Denials & Appeals

  • Denial Management

  • Denial Identification, Correction & Resubmission

  • Claim Appeals & Reconsiderations

  • Provider Appeals & Disputes

  • Authorization Denial Follow-Up

  • Eligibility-Related Denial Resolution

  • Duplicate Claim Review

Accounts Receivable & Collections

  • Accounts Receivable (AR) Management

  • AR Aging & Follow-Up

  • AR Reporting & Analytics

  • Insurance Collections

  • Patient Collections

  • Patient Statements & Billing Support

  • Outstanding Balance Follow-Up

  • Credit Balance Review

  • Refund Processing & Review

Claims Management & Reconciliation

  • Timely Filing Monitoring

  • Claim Resubmissions

  • Corrected Claims

  • Void & Replacement Claims

  • Secondary & Tertiary Claims

  • Coordination of Benefits Billing

  • Payer Correspondence & Follow-Up

Insurance & Payer Billing

  • Medicare Billing

  • Medicaid Billing

  • Commercial / Private Insurance Billing

  • HMO & PPO Billing

  • Government Health Plan Billing

  • Workers’ Compensation Billing

  • Auto Accident / Lien Case Billing

  • Telehealth Medical Billing

  • Institutional & Professional Billing

Payer & Reimbursement

  • Payer Contract & Fee Schedule Review

  • Reimbursement Review

  • Medical Necessity Billing Review

  • Bundling & Unbundling Claim Review

  • Payer-Specific Billing Requirements

  • Provider Reimbursement Research

  • Fee Schedule Analysis

Compliance & Revenue Cycle

  • Billing Compliance

  • Medicare Billing Guidelines

  • Medicaid Billing Guidelines

  • HIPAA & Billing Compliance

  • RCM (Revenue Cycle Management)

  • All-Inclusive Medical Billing Services

  • Patient Responsibility Calculation

  • Deductible, Copay & Coinsurance Review

  • Capitation & HMO Billing

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