How Our Expert Team Manages Claims
Proper claims management practices and revenue cycle processes can help you generate income from insurance claims. However, a lack of claims knowledge, high employee turnover, lack of capacity, and lack of transparency may be affecting your ability to capitalize on this revenue-stream.
VisionWeb Insurance Revenue Cycle Management works the billing cycle for you, so your practice can increase payments, decrease bad debt write-offs, and increase patient satisfaction.
Lifecycle of a Claim
VisionWeb's Revenue Cycle Management service works as an extension of your billing team. The graphic below shows how our team of insurance experts compliment your staff to create a steady cashflow, lower your denials and rejections, and create transparency into your claim filing process.
Check Patient's Benefits Eligibility
Your staff takes care of checking patient eligibility. We'll train you on best practices!
We work with many of the major practice management solutions.
Record the Invoice
Your practice management system will create a batch of claims.
Scrub Claims
Our claim scrubbing services ensure that your claims are clean and error-free before we hand them over to the payer for processing.
We receive a report that will let us know which claims have been accepted or rejected by the clearinghouse.
Review Your Claim Confirmation Report
We work with you and thousands of payers to quickly identify, correct, and resubmit rejected claims.
Review Your Special Handling/unprocessed Claims Report
These claims often go undetected and require a higher level of expertise.
Review Your File Detail Summary Report
Within 48 hours, we will receive a report from the payer that shows a list of accepted and rejected claims from each file submitted.
Rejected claims are not forwarded to the payer!
Review Your Batch and Claim Level Rejection Report
Within 48 hours, we will receive a report that details why the payer rejected any of the specific claims.
Review Your Special Handling/unprocessed Claims Report
These claims often go undetected and require a higher level of expertise.
Account Reconciliation
Velocity of payment differs by payer. Payment is often received in just a few days.
ERA/EOB
Within 14 business days, we receive the ERA/EOBs, giving you everything you need to reconcile your accounts.
Adjudication
Within 14 business days, the payer will adjudicate claims.
Check Patient's Benefits Eligibility
Your staff takes care of checking patient eligibility. We'll train you on best practices!
Our services work with many of the major practice management solutions.
Record the Invoice
Your practice management system will create a batch of claims.
Review Your Special Handling/unprocessed Claims Report
These claims often go undetected and require a higher level of expertise.
Immediately, we will receive a report that will let us know which claims have been accepted or rejected by the clearinghouse
Review Your Claim Confirmation Report
We work with you and thousands of payers to quickly identify, correct, and resubmit rejected claims.
Scrub Claims
Our claim scrubbing services ensure that your claims are clean and error-free before we hand them over to the payer for processing.
Review Your File Detail Summary Report
Within 48 hours, we will receive a report from the payer that shows a list of accepted and rejected claims from each file submitted.
Rejected claims are not forwarded to the payer!
Review Your Batch and Claim Level Rejection Report
Within 48 hours, we will receive a report that details why the payer rejected any of the specific claims.
Review Your Special Handling/unprocessed Claims Report
These claims often go undetected and require a higher level of expertise.
Adjudication
Within 14 business days, the payer will adjudicate claims.
ERA/EOB
Within 14 business days, we receive the ERA/EOBs, giving you everything you need to reconcile your accounts.
Account Reconciliation
Velocity of payment differs by payer. Payment is often received in just a few days.
