Claims Management Services

Experience + Industry Best Practices

Despite advances in software, communication technology, and IT infrastructure the process of filing and collecting on an insurance claim can still be arcane. Even the slightest incorrect information can result in massive delays and possible denial of coverage for patients with even the best insurance.

At Operant Billing Solutions we take on the hassles of administrative duties for you to free you up for the things you do best. Offering your patients the best possible care, while continuing to grow your practice.

Our claims management process is born out of years of experience coordinating with patients, practitioners, and insurance providers. Once the process is set in motion, you as the therapist/practitioner, won’t have to worry about the backend details of managing your claims and receiving payment.

By putting your claims management and billing practices in Operant Billing Solutions capable hands, you can focus on the clinical aspects of your practice, while we make sure you get paid promptly.

claims-management

We’ve Got You Covered!

Claims reimbursement

For both in-network and out-of-network insurance claims

Appeals

We have years of experience negotiating with insurance providers to effectively appeal denied claims

Rejections

Our experienced administrative technicians use time-tested practices to identify possible rejected claims or paperwork errors that could lead to an unwarranted rejection

Eligibility

We have a pre-certification process that vets new patients and patients with a new insurance provider to make sure they are eligible under their current level of coverage. If they are not eligible, we can work with you to understand what can be done to improve their eligibility status.

Patient Tracking

We use thorough techniques and tracking technology to keep accurate tabs on patients and their status. This can include notifications of expiring authorizations, additional/secondary payers added to the patients benefits, monthly proactive benefits verification or other things that might change their eligibility status.