Medical claims processing is a tedious and time-consuming process. Incorrectly filed claims lead to rejected claims. Outsource your medical claims processing to counter all these complexities. Maven Healthcare provides claims processing services of world class quality and enables you to concentrate on your routine work without any hassle.
At Maven Healthcare, we follow a well-organized, systematic approach towards problem resolution thereby enabling faster conversion of accounts receivable into revenue.Effective documentation is the key to our success.
Stream line your medical claims process through Maven Healthcare
It is vital to identify the benchmarks of processing patterns of different payers, which is obtained from historical data. The benchmark information includes:
- Processing time for claims offered by the carrier.
- Tax ID number, provider number, address, etc.
- Identifying all blocks in the HCFA-1500 claim form.
- Requested documentation.
- Various plans deployed by payers along with hard copies.
Various stages of claims processing
- Identifying claims that are outliers to the benchmark.
- Prioritizing medical claims for processing.
- Detection and analysis of problems.
- Preparation of action plan.
- Implementation of action plan to outstanding claims.
Maven Healthcare effectively improves the profitability of medical claims processing through:
- Automation of receivables process.
- Automation of patient eligibility verification.
- Claims reimbursement.
- Rejected claims management.
- Electronic remittance posting.
- Reporting and analysis of claims and remittance.
- Processing of patient statement.
Medical claims processing software
At Maven Healthcare, we use flexible modular solution to empower claims handling.
- Claim IQ
- Decision Point.
- Auto pay
- Smart Advisor
At Maven Healthcare, the claims processing services include:
- Entry of patient data in demographics and entry of CPT and ICD codes and modifiers into the billing software.
- Identification of billing errors and correction.
- Adjudicate claims for accuracy.
- Preparation of Explanation of Benefits (EOBs)
- Submission and filing of claims.
- Follow-up with the insurance company for claims status.
- Appraisal of client on claim status update.
- Denied claims processing.
Make the wise choice of choosing Maven Healthcare as your medical claims processing partner
- Increase revenue by 20%
- Decrease processing time of claims.
- Reduce number of administrative overheads.
- Screen for minute bugs for higher success rate.
- Periodic progress report on claims status.
- Detect and eliminate duplication of claims.
- Increase adjudication rate.
- Automated payment solution.
- 100% digital claims submission.
- Minimize compliance issues.
- 100% compliance with HIPAA regulations.
- Advanced electronic claims processing software.
- Shorter turnaround time.
- Convert all types of claims including HCFA, UB92, RX claims, Medicaid, super bills, Medicare, etc.
- Six sigma and TQM methodologies.
To achieve superior and unique medical claims results, approach Maven Healthcare for medical claims processing. Contact us: firstname.lastname@example.org