Our follow-up process will vary depending on the claim and what we find when we are researching the claim. But our team will diligently research all claims to investigate why they have not been paid and the actions required to ensure payment.
For example, if we find that a claim was never received by the insurance company we will send this claim again, and where possible through an alternative delivery method. For example, if we find the claim was not received and it was submitted electronically, we will send it by fax.
Or if we find that the claim was denied when we are researching this, we would follow up by submitting an appeal to the insurance company highlighting the medical necessity of the procedures completed.
One of our A/R Specialists will run the office's aging report at least every 30 days to ensure no claims ever pass the 31-60 day window after the initial uptake of the service.
Our A/R team will strive to provide updates on all outstanding claims every 14 days to help minimize delays in processing from the insurance payor. Because insurance companies do not provide proof of receipt to a claim this 14 day follow up cycle also helps us keep track of any claims that have experienced delivery or receipt errors.