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Denial Management Services in Aberdeen

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Rejection management and denial management are sometimes confused. Rejected claims are those that, due to errors, were not submitted to the payer's adjudication system. These claims must be corrected by the billers and resubmitted. On the other hand, denied claims are those for which a payer has made a decision and rejected the payment. Both denied and rejected claims should cause worry for healthcare businesses. The claims rejection management process offers insight into the claim's issues and a chance to fix them. Denied claims signify lost or delayed revenue (if the claim gets paid after appeals).

Denial Management Service we offer
  • The skilled experts on iMagnum's denial management team include those who:
  • Examine the rationale behind each claim's denial.
  • Concentrate on fixing the problem.
  • Send the insurance company the request once more.
  • Where appropriate, file an appeal.

We are aware that each instance of rejection is unique. To enable patients to assume responsibility and successfully follow up, we correct inaccurate or incorrect medical codes, provide supporting clinical data, contest any prior authorization denials, and comprehend any justifiable denial circumstances. All clinical data is double-checked before being resubmitted.

As a strong billing team, we work with all our clients to analyze the denied claims and reduce the denial percentage.

Reduce the Denials through our Analytics team:

Denial difficulties are frequently practice-specific, and we are aware of the patterns in claim denials. We have started a thorough approach to eliminating them based on known reasons.

Benefits provided for our clients:

We offer our clients the below benefits:

  • Focus on resolving claims: Rather than only obtaining information about the status of the claims, our main goal is to remedy the claims.
  • Process automation: We controlled the manual effort and initiated the BOT technique to obtain the claim status.
  • Workflow Automation: The insurance firms must respond to a series of questions associated with each claim status code in order to settle any claims-related concerns.
  • Dashboard and metrics: To have a clear understanding of the A/R and concentrate our efforts on the resolution, we provide multi-variate reports.
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