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 service
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.
