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:
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Financial Encounter Balancing and Reconciliation Tracking
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Claims to Encounter
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Reconciliation Review
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Monitoring Encounter Submissions
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Acceptance and Reject Review
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Vendor Status Reports