At ZOE RCM, we work with both electronic and manual claims submissions to insurance companies by leveraging the latest billing tools and technologies. The best-in-class services from our experienced team come with guaranteed accuracy and at competitive rates. Our foolproof process ensures that rejection of claims is minimal. In the case of exceptions at all, we guarantee rectification and resubmission of documents. Swift turnarounds are our forte and collaborating with various industry clients comes easy. Cut down on operational costs and boost your revenue by collaborating with us.
Claims Billing Services:
Collection – The first ring in the claims billing ladder is when you share demographic details of the patient and copies of their insurance cards with us. We will help you to collect all information, documents and receipts and accurately file these details for later follow-ups:
- 1. Personal information (Name, Address, and DOB)
- 2. Insurance policy and group number
- 3. Healthcare provider’s name and address
- 4. Cost and relevant code of the treatment provided
- 5. Any expenses already paid by the patient
Filling Claim Form – This is the most critical step and might need the services of expert professionals. This is where we look into the:
- 1. Healthcare history of the patient
- 2. Policy details to determine if the expenses claimed are under the patient’s insurance plan or not
- 3. Services provided to the patient
- 4. Calculate the reimbursement amount to be received after clearance of dues by the insurance company
Review and Submission – Once we have collated all necessary documents like bills and prescriptions for submission, they undergo a thorough examination to check for any inaccuracies or mismatches. Keeping the insurance carrier in the loop, we submit the claim form.
Benefits of Account Receivable Services:
- Streamlining claim submissions for faster payment from insurance carriers
- Hassle-free and accurate medical data entry and handling
- Maximized payments with our experienced billers dealing with insurance companies
- Customized weekly and monthly in-depth reports to help you analyze the financial health of your company
- Claims tracked till paid