Our Accounts Receivable Capabilities include: Payer Follow-ups Self-Pay Follow-ups Ability to work offline (using spreadsheets     or reports) or directly from Client Software     Reports

• Ability to work with 100's of insurance companies in the United States   including Medicare (IVR), Medicaid (Most of the States), The Blues and other Commercial Insurance Payers



•   Leverage the 24 by 7 model:
  
  
• ISO 9001 Process in place
• During the daytime, we do the analysis of the calls: Determining what needs to be done and taking appropriate actions immediately if necessary
• Durting the nighttime, the callers will do the calling

Our Accounts Receivable process works using the following method:

Step 1: Client submits Call Request List via a File, Excel sheet or via Software Report. We usually have the report submitted using a sorted list of Payers and usually by categories; For example, we may have all Capitation accounts for say, Blue Cross of California

Step 2: Our Callers make the calls (using IVR or talking directly to the Insurance Companies) and categorize the results into "Buckets":

•   Capitation Accounts
•   Authorization Accounts
•   Medical Records and so on

Step 3: Results of our calling is submitted back to the Client and the records/ software updated accordingly (if required)

Step 4: Client takes the necessary follow-up actions including:

Interaction with the Providers for say, Medical Records or appropriate information

Putting together the results and sending claims including matching HCFA-1500 with medical records or any documentation, as appropriate.