Why send claims electronically? Here's the basics; It's less
expensive than printing paper claims, less errors occur by the Payer re-keying
or scanning data, and payment turn around time is 50% faster than paper,
typically 14 days.
If your office is currently sending claims electronically, consider the time
and energy your existing process takes to manage. We have streamlined the
process so you don't waste valuable time having to review rejection reports and
monitor the activities of your clearinghouse. Some features of our system
Web based claim tracking and reporting
Immediate error notification
On-Line editing for pended claims
Custom business rules
Conversion from any system and any format
Integrated Claim and Payment detail
Why is it so critical to have a process for handling rejected claims? On
average, 20% of claims are rejected. It's an alarming rate confirmed by the use
of information we track as part of the system. If the average physician sends
300 claims per month, 60 claims are being handled manually for correction on
both the Payer and Provider end at a cost of at least $5.00 dollars per claim
for overhead expense, or $300 dollars per month per provider. The American
Medical Association estimates this figure to be three times higher but even
conservative figures are disturbing and it continues to happen year after year.
Payer Connection delivers the ingredients for putting an end to this black
hole; Technology and Information Management. Understanding why
claims reject assists in the resolution of on-going problems; efficiently
designed applications allow technology to manage the rejections and reduce the
effort required to make the correction. Capturing the knowledge of why claims
pend helps prevent the problem from reoccurring. It's a recipe Payer Connection
serves it's clients every day to improve the health of your organization.
Here's a sample of what our customers have to say:
We previously used a large, nationally-known clearing house
for sending electronic claims to Medicare, BlueCross, and Medicaid, which
together represent 50% of our business. Voluminous paper reports had to be
printed for each transmission to try and determine if claims had gone through,
and.. if not..why not? There was no local representative to assist us with
training or to answer questions. We offered to pay to have someone from this
company come to Portland to work with our staff, but they were not able/willing
to do so.
Their proposed solution was that we hire more people to work
the reports. We got paid quicker on paper claims sent to other insurers than we
did on our electronic billing!
After hearing Dean speak at a Clinic Managers' forum I asked
for a meeting with me and our very experienced staff to talk about Payer
Connection's services. Totally frustrated with the other firm, we decided to
make the switch. The difference is amazing! It is so easy now for my staff to
find and correct errors on-line. If we have questions or problems, Payer
Connection is there to assist us. Money is flowing again; our doctors are
Barbara Alminiana, Administrator
Portland Diabetes & Endocrinology Center
"Thank you Payer Connection for making our electronic filing so easy and worry
free! We appreciate how quickly our claims process has been turned around, and
we are getting paid quicker than ever before. It has been a great experience to
work with the Payer Connection team and we are very pleased!"
Somer Shields, Practice Manager - Practice System: GE Centricity
E-Mail us at email@example.com or call us at (503) 820-3803
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