Financial Services

Account Receivable Management:

Refers to payments owed to healthcare providers for services rendered.
Includes outstanding payments from patients, insurance companies, or other third party payers.
AR management helps track and follow-up on these payments.

Claims Management

Claims Submission

After verifying insurance eligibility and services provided, a claim is submitted to the insurance company with detailed information about the services.

Claims Tracking

The biller tracks the claim's status to ensure accurate processing and to identify any issues.

Claims Denial & Review

If a claim is denied, the biller reviews the reason and determines whether additional information is required.

Claims resubmission

If necessary, the biller resubmits the claim with additional information or corrections.

Appeal Management

For denied claims, the biller files an appeal with the insurance company to request a review, providing additional information or documentation to support the claim.