Charge entry / claim submission

Medical claims are generated by senior billing associates , based on the state carrier policies and billing guidelines . Once the charges are created , keyed in with appropriate Procedure , diagnosis , modifiers , specific payment modifiers ( if applicable ) .

Multiple Quality checks are performed before the charges are transmitted to carriers . some of our main checks includes appropriate patient name , history verification ( Established Vs New patient code usage ) , appropriate pointers were picked for ICD-9-CM codes with concurrent CPT codes , appropriate insurance picked being screened .

EDI clearance are performed by our senior associates , who is deligent is identifying , fixing and eradicating the cause in future claims !

Our aim is to0 submit 100% clean claim , make sure proper submission .