Medical Claims Processing - Streamlined for Quick Results
DigiMedix help healthcare providers increase their revenues by professionally organizing the process of medical claims. We commit to our client’s services that are accurate, efficient, and flexible. Our aim is to provide the most optimal and reliable way for our clients to deal with. Most of our models find their basis through the rejected claims. These are created by our special teams that work for catering to your needs regarding monitoring, understanding, and thus, moving forward with the claims that have been rejected. We make sure to analyze the progress in real-time and work on the efficiency of the stages that are involved in the process of medical claims related to the management process. Through our claims, our aim is to serve with solutions that are both cost and time-effective.
Provision of the expedited resolutions for claiming the deficiencies like missing data and errors alongside prior authorization
Management of all claims that are related to the correspondence for following up with the payer
Conversion of all the documents into the digitized files for all the paperwork that can form as a part of a large and central repository
Provision of comprehensive reports related to the claim audits and adjudication and real-time settlement of the payment amount
Effective management of the claims of denied and rejected nature. Also, this includes correction of errors that have been committed and resubmitting these for final claims and approval
Our Well-Defined Health Insurance Claims Process
Recording all the relevant information through data entry
Correct Billing Errors
Scrutinizing all the documents related to errors and resolving them
Adjudicate Claims for Accuracy
Authentication of the accuracy related to the medical claims
Prepare Explanation of Benefits (EOB) Statement
Preparing the explanation of benefits (EOB) benefits
File the claims with the insurance company
Conducting the claims regarding the follow-ups
Claims Status Update
Information related to the client’s status claim
Evaluate and Resolve Denied Claims
The process involving the denial of claims and resolving the errors
Resubmit Corrected Claim
Conducting the claims for their final stage and submission
We are Specialize in Medical Insurance Claims Processing
Auditing and claim support through data entry
We make sure that our team is recording all the relevant information through data entry. Scrutinizing all the documents related to errors and resolving them is catered to at all levels before entering. We are a team of qualified auditors who put the best use of their experience while using the data processing tools. We cater to all requirements like audit claims, conducting the underpayment analysis, and finding effective solutions related to recovery.
Setup for Insurance claim
Our team is well equipped to ensure the patients’ demographic information is properly accounted for, as well as, recorded accurately. We record all information related to their insurance, insurance payer, and policy number amongst others. We make sure that the process is done authentically so that there is no discrepancy for accuracy related to the medical claims. Also, we aim at preparing the explanation of benefits (EOB) benefits.
Filing the claims with an insurance company
By rendering the medical claims processing services, we make sure to verify the policy cover. Also, we further make sure that it has its effect on the date of service. We ensure conducting the claims regarding the follow-ups for accuracy so that there are minimum appeals and prevents denials. Also, we help in procuring the prior authorization from the payers’ end. We pay attention to the details and ensure that all the details are included or excluded accurately.
We make sure that the information related to the client’s status claim is eligible for the remittance process and benefit determination. We possess a decade-long experience in electronic, as well as, manual claims adjudication. We have experience in catering to the management requirements of various healthcare professionals and hospitals by helping them with information related to eligibility, checking, processing of remittances, and benefit determination amongst others.
Claims Support & Auditing
The process involving the denial of claims and resolving the errors. Our team is home to specialists that have expertise in converting paper documents into digital files. Also, this helps in the proper storage of all the crucial data and eliminates the risk related to the data getting lost or misplaced. A digital archive ensures effective and reliable recordkeeping and patient billing.
Account settlement as the process for conducting the claims for their final stage and submission is also well-covered and catered by the experienced professionals at DigiMedix. Our services include understanding the terms of the policy cover, claims, along with having a proper hand at the documentation related to the medical procedures and processes. This helps us in filing the claims accurately and in the prescribed time frame. After this, we make sure to follow up with the payment agencies till the process of getting the claim ends.
Specialties We Deal
- Allergy / Immunology
- Clinical Virology
- Emergency Room
- Emergency Medicine
- Environmental Medicine
- ENT Neurology
- Family Medicine
- Forensic Medicine
- Internal Medicine
- Infectious Disease
- Mental Health
- Nuclear Medicine
- Occupational Therapy
- Occupational Medicine
- Pain Management
- Plastic Surgery
- Plastic Surgery
- Preventive Medicine
- Rehabilitation Medicine
- Reproductive Medicine
- Speech Therapy
- Sports Medicine
- Vascular Medicine
Read Our Clients Latest Reviews
Our clinic is truly enjoying your medical coding services, particularly your ER coding team is awesome
What a quick and affordable RCM service, thanks for reducing my painful billing tasks
You guys are really supportive, and helped me out on long weekends too.
I cannot forget your assistance when I was struggling with my backlog recorded audios, you delivered great quality transcripts within a small time frame, thanks for it.