Quick RCM

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Medical Claims Processing

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The Medical Claims Processing

At Quick RCM LLC, we understand the importance of correct medical billing and coding to avoid any reasons for denials. So, with our solutions, sit back and watch as we turn your receivables into cash!

Giving more attention to the medical claim processing sector is a great way to improve cash flow. Research indicates that Americans spend over $7000 annually per capita on healthcare. Much of this money goes into health insurance, so the insurance companies need to find a solution to manage their accounts.

What is Medical Claim Processing?

A medical insurance claim is a bill that healthcare providers submit to a patient’s insurance provider. Most healthcare providers can confirm that insurance companies reject most of the medical claims they receive. This makes you chase these companies to pay for what is rightfully yours, which can be tiring and time-consuming. Our Medical Claims Processing services will shorten the process, and the days it will take to receive your money. We help reduce denied claim submissions and improve your cash flow.

How We Handle your Medical Insurance Claim Processing

Our top-notch medical claims processing software helps us handle your claim in the following steps;

  1. Claim Adjudication

Insurance companies combine the use of automated and manual verification for the adjudication of medical claims.

  1. Explanation of Benefits

After completing the adjudication process, the insurance company sends a notification to the health provider and details of their findings. They also include justification for partially or fully settling or rejecting the claim.

  1. Claim Settlement

This is the last step, where the insurance company pays the amount due for treatment services to be rendered to the insured patient.

Empowering your healthcare claim submission processing workflow with our advanced data capture technology can have the following benefits for your practice;

  • Reduced number of exceptions and rejected medical insurance claim
  • Minimize the risk of inaccurate reimbursements
  • Flexibility to increase productivity without adding new employees

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