Does your office have denial claims because you lack proper treatment plan or valid referral? Then our referral submission and tracking services are what your business needs the most.
With our authorization tracking service, it is possible to track the number of visits allowed for a treatment plan. It even tracks the end date of a referral, which is important to ensure that you treat patients only till the authorized number of visits or the ending date of referral. We provide a weekly report to our customers to highlight the authorizations and referrals that are about to expire.
Referral Submissions
After each appointment, the healthcare provider or physician supplies a bill to the insurance company. The records submitted by the patients are compared to the guidelines mentioned in the policy by the insurance company. This is checked to determine if the test or procedure is covered or not.
If in case you are not able to keep a track of the entire process by your own, then our expert billers can provide you complete support in this regard. Our experts begin with the checking process with the insurance company as soon as a patient submits his referrals. The details for the same are send to you. If the patient is genuine then the insurance company pays the amount. However, if the procedure is not covered under the policy then the patient is responsible to pay the remaining balance.
Our expert billers have rich experience in the field. Hence, they gather complete information about the patient, insurance policy, and procedure before generating the final report to help you prepare the bill. The medical biller even fill the standardized claim form mentioning the beneficiary’ address and name, certification numbers, NPIs for specific date, tests, service, and other vital information.
The standardized form provided by us also includes details regarding procedure codes, diagnosis codes, applicable modifiers, and HCPCS codes. One all the details are fetched then we sent you an email and even deliver the details to you as well as the insurance company. Hence, you are able to save acknowledgement of the insurer’s health receipt.
Benefits of Tracking Referral Submissions
If you are not aware the amount a payer has paid for a medical service, then you are in urgent need of our tracking service. With the help of our services, you would be able to avail the following benefits:
- Our services help you to know when a patient is about to reach its maximum benefit so that you can notify the same to patients.
- We offer a digital report that shows you the cost per patient and the total sum of benefits a patient has been able to achieve in a year. The report even tells about detailed itemization of what has been paid and the remaining benefit amount available.
- We can also help you track the total number of visits on an annual basis to the number of visits allowed in a year.
With our services, you can therefore expect qualitative solutions, innumerable benefits, and lasting support!