30 days is the ideal time for a claim to get processed. Anything that takes longer than this should be properly analyzed to understand the delay and fix it so that you don’t leave any money on the table. Accounts Receivables is a key indicator of your practice’s financial health and plays a major role in reducing the DSO which is a measure of the average number of days that it takes a company to collect payment for a rendered service.
Identify Payment Delays and trends
Strategies for better workflow
Reduced Days Sales Outstanding
Fewer Claims Resubmissions
Payment information is duly updated after thorough verification via calls and websites to get the latest status of the claim.
After thorough investigation is done, denied or partially paid claims are adjudicated for a balanced ledger.
Resubmissions and appeals are made whenever a payor needs additional documentation to get complete payments.
Rahseeda Johnson
Owner, DentCare Now
When they come in, our focus is solely on that patient.
"So what's the treatment that you need? When we're presenting the treatment plan now, we can present it with confidence and we can do a lot of same day treatment, which helps get the patient out of discomfort or get their needs met. So I would say their experience is better."
Experience denial free claims and maximize your collection.
Learn the status of every claim submitted within the last 30 days. Know which claims are paid, pending or denied.
Resolve issues such as incorrect subscriber or policy details, invalid fee or procedure code, incorrect payor id etc, that results in rejection.
Non-payment causes are identified. Where possible, claims are reprocessed with additional information, to resolve the denials.
Understand the reason for incomplete payments. Reprocess or appeal with additional information wherever possible for the pending balance.
Refile claims that need additional information like Xrays, W9 forms, narratives, etc. Fast resubmissions ensure that no time is lost.
Appeals are submitted with a detailed narrative and supporting clinical documents to be reconsidered for payment.
After all the information is gathered from the payor, necessary adjustments are made like closing a claim, write-offs, transfer balance to patient etc.
Easy-to-understand claim flags that fit every situation, whether it is to notify about a payment update or to give proper instructions about the next action.