ENCOUNTERS PROCESSING

Our ability to receive accurate and complete claims (as well as inbound encounters for sub-capitated services) from providers on the "front end" of the encounter data submission process is a critical factor in ensuring timely, accurate, and complete encounter data production.

 

We understand the importance of a claim and its accuracy. We make sure the claims process is efficient, effective and accurate to support downstream encounter data production.

 

Our process includes:

  • Financial Encounter Balancing and Reconciliation Tracking

  • Claims to Encounter 

  • Reconciliation Review

  • Monitoring Encounter Submissions

  • Acceptance and Reject Review

  • Vendor Status Reports