Services
We will always feel grateful to you for using our services.
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Our Services for you
- Credentialing & Re-Credentialing
- EDI, ERA & EFT enrolment
- Patient’s Demographic Entry
- Setting Up EHR and PM
- Setting Up Clearinghouse for Electronic Claims & Submission
- Payment posting
- Insurance Portals Setup
- Appeals (Level I & II)
- Quality Assurance Operations
- Weekly Problem Lists
- Monthly Collection Reports
- Prior-Authorization & Pre-Determination
- Charge Entry, ICD coding & CPT coding
- Insurance Eligibility & Benefits Verification
- Claims Scrubbing & Submission
- Electronic & Paper claims submission
- Rejections & Denials Management
- Accounts Receivable Management
- Patient Billing & Follow-up
- Insurance Calling
- Daily & Weekly Production Reports
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How we works
Procedure and Process
Credentialing and Re-Credentialing
Verification is the process by which the relevant committee reviews documents from each physician / provider to determine participation
Patient’s Demographic entry
Patient statistics are the basic patient information completed on a health insurance claim. It will contain items such as Name, age, insured ID number, SSN, location and more.
Electronic & Paper claims submission
a paperless patient application form compiled by computer software that is sent by telephone or computer to health insurance or another payer (payer) for consideration and payment.
EDI, ERA & EFT Enrolment
EDI (ELECTRONIC DATA INTERCHANGE) EDI (Electronic Data Interchange) makes your medical request journey to the payer system . ERA (ELECTRONIC REMITTANCE ADVICE)
Setting up EHR & PM
Complete checklist for your EHR application. The new EHR enables system configuration, which is important to accurately represent the details of your medical performance
Rejections/Denials Management
Rejected Claims are applications that do not reach the payer's judgment system due to errors. Taxpayers must correct and resubmit these claims. DM is often confused with RM.
Prior-Authorization & Pre-Determination
Pre-authorization — sometimes called precertification or prior approval — is a cost-effective medical procedure for physicians. Lets get started.
Advance Eligibility Coverage & Benefits verification
In order to receive payment for services provided, health care providers are required to verify each patient's eligibility and benefits prior to the patient's visit.
Accounts Receivable Management
Receiving account management is a process to ensure that customers pay their bills on time. It helps businesses protect themselves from running out of money at any time.
Setting Up Clearinghouse for Electronic Claims & Submission
To set up an organization to submit electronic claims, you must register with a CentralReach's clearinghouses partner
Charge/Claims Scrubbing/Submission
Charge Scrubber identifies medical codes and payment problems, but this solution updates the charges before the charge enters the RCM system.
Payment posting
Payment submission refers to the payment view and financial picture of the treatment. It also refers to the entry of payments into the medical payment software system.. It provides an insurance payments from patients
Patient & Family Resources
Our Patient and Family Resources are designed to help you understand your medical care and insurance, as well as provide you with a way to communicate with our team.
We look forward to working with you!