All claims for primary and secondary claims are sent electronically, daily. For any claims not accepted electronically, they will be mailed.
Claims are reviewed before submission to the insurance to ensure accuracy to prevent denial over a clerical error. Because this can delay processing of the claims and payment to the office.
Insurance payments (checks and EFT) are posted to the patient ledgers within 24 business hours after the EOBs are scanned in by your office.
If a claim is denied, we will inquire about the cause and appeal the claim if it is appealable. Electronic attachments will be sent for all claims when available. If an insurance company will not accept electronic attachments, we will process a paper attachment through the mail.
The Insurance Aging Report is analyzed and diligently “worked”. Working all claims that have aged 30 days and over.