In the fast-paced world of healthcare, timely and accurate claim processing is essential for maintaining a healthy revenue cycle. Med Globe Healthcare Solutions offers top-tier electronic claim processing services designed to expedite your billing processes, minimize errors, and ensure swift reimbursement from payers.

Our Electronic Claim Processing Services Include:

  1. Claim Preparation and Submission

We handle the entire claim preparation and submission process, ensuring all claims are accurate and complete.

  • Data Validation: Verifying patient and insurance information to ensure claims are error-free.
  • Automated Claim Generation: Using advanced software to generate claims based on provided medical codes and billing data.
  • Electronic Submission: Submitting claims electronically to payers for faster processing and payment.

 

  1. Real-Time Claim Tracking

Our system provides real-time tracking of submitted claims, giving you complete visibility into the status of each claim.

  • Dashboard Monitoring: Real-time dashboards to monitor the status of all claims.
  • Automated Updates: Immediate notifications of claim status changes or issues.
  • Detailed Tracking: Access to detailed information on each claim, including submission date, payer responses, and payment status.

 

  1. Error Resolution

We proactively identify and resolve errors to prevent claim rejections and denials.

  • Pre-Submission Scrubbing: Reviewing claims for potential errors before submission to reduce rejections.
  • Automated Edits: Using software to automatically correct common errors.
  • Manual Review: Our team manually reviews flagged claims to ensure accuracy and completeness.

 

  1. Payer Communication

We handle all communication with payers to resolve issues and expedite the payment process.

  • Claim Follow-Up: Regular follow-up with payers to check the status of pending claims.
  • Issue Resolution: Addressing and resolving any issues or discrepancies that arise during the claims process.
  • Appeals Management: Preparing and submitting appeals for denied claims to maximize reimbursement.

 

  1. Comprehensive Reporting

Our comprehensive reporting tools provide detailed insights into your billing performance and financial health.

  • Financial Reports: Monthly reports on claim submission, acceptance rates, and payment timelines.
  • Custom Reports: Tailored reports to meet your practice’s specific needs and goals.
  • Performance Metrics: Tracking key performance indicators (KPIs) to measure the efficiency and effectiveness of the claim processing workflow.