Claims Follow-up

At a time when payer systems are becoming more complex than ever, you need a team backed by sophisticated technology fighting to get you paid. ADP RCM stands firmly beside you to do just that.

The technologies mentioned in the previous step do a great job at identifying outstanding claims and give us the information we need. However, technology alone doesn't get claims paid. That is where experienced reimbursement specialists come into play (again).

Once an outstanding claim has been identified as past due, we proactively review claim history and follow up accordingly. This is a much faster and more efficient process than printing old A/R reports and calling "down the list" to find out claim payment status. This usually means making calls to the various payers and getting into the nitty-gritty details required to get the claim paid, and not accepting the check-is-in-the-mail response.

How important is this agressive follow-up? It is so vital to your financial success that we allocate approximately one-half of our reimbursement specialists to these follow-up activities.

Step 12 - System Reporting Step 10 - Recovering Unpaid Claims