The claims process starts when a healthcare provider
treats a patient and sends a bill to a designated payer
MEDICAL BILLING & CLAIMS PROCESSING
The insurance claims process can be complex. iMetrix Health Solutions is familiar with the tools and all documents (both paper and electronic), industry standards, individual insurance company regulations, clearinghouse procedures, and the adjudication process.
We keep up with the guidelines that govern medical billing and coding protocols in accordance with state and federal healthcare laws. The guidelines set by the healthcare governing agencies ensure privacy, proper conduct, fairness, and efficiency in the services we provide.
We perform accurate entry of patient demographic data, preparing of claims, and calculation of charges for services rendered. This adds up to clean claims, proper billing, and timely reimbursement for you.
OUR SOLUTIONS INCLUDE:
HIPAA Compliance
Electronic Filing Software
Optical Character Recognition (OCR) with Human Oversight
Catching and Correcting Errors Early
Reprocessing Rejected Claims
Payment Posting to Patient’s File