Denial Posting

Our Value Proposition

• We give insights on trends in denials, non-covered services, prior authorization, and deductible or co-payment collection concerns at the point of service, in addition to production and quality reports on our performance.
• We assist our clients in establishing clear procedures for write-offs and adjustments. While processing payment transactions, we report any anomalous contractual alterations based on these policies.
• We forward refused claims to the relevant coding and denial management team for rework and timely resubmission to payers.
• Identifying and processing claims with secondary payers for any leftover balances.
• Dashboards that promote continual improvement by providing rapid access to process health metrics.

Denial Posting Service

Claim denials must be posted in order to gain a complete picture of the customer’s A/R cycle. Payers respond to denied claims with ANSI codes for denials and, in some cases, payer-specific medical coding guidelines.

Most payer-specific refusal codes are familiar to us, and we’re also well-versed in ANSI standard denial codes. Each claim denial is recorded in the practice management system, and we take steps to re-bill the secondary insurance carrier, transfer the balance to the patient, write off the amount, or reprocess the claim.