Out of Network Claim Management Made Easy
Managing out-of-network claims can be a significant challenge for providers, especially with the delays and underpayments that often come from insurance companies. This not only creates financial strain but also shifts their focus away from what truly matters—patient care. Outsourcing these responsibilities to specialists like MedRevEase Inc is a smart move. Their expertise in out-of-network billing allows providers to navigate the complexities of negotiations with insurance payers effectively. By meticulously tracking claims and ensuring that rightful charges are recovered, MedRevEase Inc helps providers secure fair reimbursements, which can alleviate financial pressures. Moreover, by partnering with MedRevEase Inc, providers gain access to skilled negotiators and dedicated billers who have a proven track record in the US healthcare industry. This partnership not only streamlines claim management and maximizes revenue but also enables providers to devote more time to delivering exceptional patient care. It’s a win-win situation that enhances both the operational efficiency of practices and the quality of care patients receive.
Our Proven Process to collect 100% of Billed Charges
Insurance Plans & Benefits Check
By first verifying the insurance plan and benefits, we ensure that both the provider and the patient have a clear understanding of coverage. Informing patients about their responsibilities and expectations, especially regarding potential surprise bills, is crucial for transparency and trust.
Out of Network Claim Submission
Ensuring HIPAA-compliant electronic claims submissions is critical for protecting patient information and maintaining trust in healthcare operations. Our skilled out-of-network billers play a vital role in streamlining the claims process while adhering to regulatory standards.
Follow-up & Negotiations
We diligently follow up on claims and utilizing patient benefit information ensures that no detail is overlooked. Intelligent negotiation for maximum insurance reimbursement can make a significant difference in a provider’s revenue.
Appeals Management Process
Crafting effective appeals and demonstrating medical necessity are crucial for resolving claims that have been denied or underpaid. Our expertise in this area not only helps recover unpaid balances but also ensures that providers are fairly compensated for the care they deliver.
Consistent Payment Posting
Consistently posting payments for all claims and keeping providers updated on their status fosters transparency and trust. By actively monitoring claims, we ensure that any payment discrepancies are promptly identified and addressed, which helps prevent potential revenue losses.
What Clients
Usually Asked
What is an “out-of-Network” Provider?
An "out-of-network" provider is a healthcare professional or facility that does not have a contract with a particular health insurance plan.
What is difference between out of network and in network provider?
In-network providers have contracts with the insurance company. This agreement outlines the rates they will be paid for services. However Out-of-network providers do not have a contract with the insurance plan, meaning they set their own fees for services.
What is the advantage of being an out-of-network provider?
Out-of-network providers can set their own fees, allowing them to charge what they believe their services are worth without being bound by insurance company rates.
What is the reimbursement of being an out-of-network provider?
Out-of-network providers can negotiate payments directly with patients or insurance companies, potentially leading to better reimbursement rates.
Why MedRevEase is The Best Medical Billing Company
Success Stories
MedRevEase has been working with us for the last 5 years. This billing company has been a great asset to us. I work with MedRevEase and they provide everything I ask for. The team is friendly and very pleasant to work with. Surely Recommended.
They are always quite responsive to any question we may have and have been able to obtain a higher level of claims processed than our previous biller. Their billing team personnel has an unmatched level of experience and they are able to integrate with our EMR seamlessly. I would recommend MedRevEase to any practice looking for a billing service of high quality.
MedRevEase billing has helped me grow my outpatient therapy clinic by taking the part of billing. They are very efficient and always on top of reimbursements. I would highly recommend MedRevEase to any medical professionals looking for a trusted billing outsource partner.
