Insurance Medical Billing

How does AHS deliver superior results?

– Optimized internal medicine workflows submit claims electronically the same day a charge is entered and the batch verified. Payments are applied fast: electronically for carriers with automatic reconciliation and, for others, using procedures optimized for each payer.

– Secondary claims—with electronic EOB attached—are filed the same day payments are applied from the primary payer. Denials and other payer responses are automatically queued for A/R team member follow-up. Capitation adjustments are done automatically.

– Full electronic interfaces with all payer organizations instantly upload patient and procedure data, verify eligibility, determine specifics of coverage, submit claims, electronically adjudicate claims, negotiate electronic remittance, and achieve automated posting to line items on the original claim submission.