our services
Claim Submission
Payment Posting
Insurance Collection
Claim Appeal
Account Audit
Add-on Services
Insurance Verification
EFT Enrollment
Account Correction
Fee Schedule Update
Credentialing
What To Expect
Claims Submission Process
The submission of clean claims is very important step to getting paid in a timely manner for services rendered. Claims should always be checked for errors prior to submission. By taking this extra step, you can avoid any unnecessary delays in receiving payment from the insurance company. All claims sent by CBS will undergo the clean claim process. Any required attachments and information will be sent along with the claim. If any document or information is missing, we will immediately reach out to your practice to request what is necessary prior to sending the claim.
Claims Appeal Process
There are many of reasons why insurance claims are denied. In most cases, missed information during the insurance verification process is the leading cause. Frequency limits, invalid insurance and non-covered services are just some of the issues that result in denials. Any denied claims that we believe to be inaccurate, will be automatically appealed. CBS will also appeal items at your request.
Payment Posting Process
Posting insurance payments accurately requires insurance knowledge and attention to detail. Not having these skills may result in inaccurate balances and credits on patients’ ledgers. Missed patients on bulk insurance payments or EFTs are some common issues that can increase your insurance aging. Your experienced biller will post all payments with accuracy, scan through any denied codes and take necessary action, make proper adjustments on accounts, and match posted payments to your Daily Report.
Insurance Collection Process
It’s not uncommon for some insurance payments to take a little longer than 30 days. Delays can be caused by a back log with the insurance company, request for additional information, validation issues and so on. However, it is still best practice to follow up on all outstanding claims that are over 30 days to prevent further delays by addressing any issues as early as possible. This can save valuable time and keep your aging report to a minimum. When you partner with CBS, staying on top of your insurance aging is of high priority.