Medical Billing Services

The healthcare industry is a vast and complex system. The three major components are the patient, healthcare provider (physicians, hospitals and any place where medical services are rendered) and payer (insurance company). The medical biller's job is to negotiate and arrange the payment between these components. The whole payment process from payor to healthcare provider itself consists of sub-processes. Our team of billers are experts in this field.

We offer the following medical billing services:

• Credentialing

Our team verifies the credentials of the healthcare provider. We do provider enrollment wherein the healthcare provider is onboarded to the insurance policy network of the patient. We also do Medicare revalidation, which requires that an insurance provider in the network be revalidated every five years.

• Super Bill Designing

A superbill or Encounter form is an important document detailing the diagnosis and procedures. In this process, we need to collect a lot of data and key it into the system. This is a vital process in the medical billing services process as errors made here will have undue impact on revenue. 

• Eligibility Verification

We help verify if the patient is eligible to get paid by the insurer for the particular treatment received

• Demographic Entry

Demographic entry or patient registration is the process whereby the personal details of a patient, including insurance details, are entered into the system. This has to done correctly to ensure reimbursement by the payer.

• Charges Entry

Charges entry determines the amount that is to be paid by the insurance company. We have the training to do this accurately.

• Electronic Claims Submission

We have the experience and expertise to submit clean claims quickly, resulting in fewer rejections/denials.

• Denial Management

In the event of rejection by the insurance company, we take all steps to appeal to the payer. We do the follow-up and persevere to get the claim paid.