Recovering Unpaid Claims
Even though a practice may submit a perfectly clean claim to an insurance payer, there is no guarantee that it will get paid, or that it will even be acknowledged with a denial.
Couple this dirty little clean claims secret with the fact that payers have more and more stringent rules, systems and loopholes aimed at not paying providers, and there is a very good chance you may never get paid on quite a few of the services you provide to your patients. (For example, look at the latest trends in timely filing limits.)
ADP RCM Fights Fire with Fire
How? Well, without giving away all of our secrets, we can tell you that we have systems that aggressively detect unpaid or misadjudicated claims. These systems are structured on a rules-based, insurance-specific engine, and determine when an outstanding claim should be brought to the attention of one of our reimbursement specialists for active follow-up procedures.
Most practices lose a tremendous amount of money through the cracks without even knowing it. Our proactive follow-up protocols help seal these cracks and add more money to your bottom line – it's your money and you earned it.