Integrated Health Systems has created our comprehensive Third Party Insurance Follow-Up Program so our clients can free up valuable staffing resources to concentrate on the hospital’s most current billing. We will perform the appropriate investigation, follow-up and re-billing of insurance claims previously submitted to Third Party Carriers by the hospital.
Highlights of Integrated Health Systems’ Third Party Follow-Up include:
- Electronic acceptance of your accounts from whichever healthcare data processing system your facility is currently utilizing.
- Immediate contact with the insurance carriers to check the status of each claim previously submitted by the hospital.
- Provide all necessary follow-up needed, including re-billing and the furnishing of medical records, to bring them to conclusion.
- When rebilling is necessary, electronically submit in the appropriate 837-bill format for those carriers that can accept claims electronically.
- Integrated Health Systems will submit claims manually on UB-04 or carrier specific forms for those carriers that do not possess electronic claims capabilities.
- We will contact the patients only when additional insurance information is needed, such as identification numbers, subscriber information, claim forms, COB information, etc.
- Submit balances and/or rejections to the patient’s Secondary Insurance Carrier for payment.
- Accept Third Party electronic remittance files so we can electronically auto-post against your accounts within 24 hours of receipt.
- Return accounts to the hospital that are considered patient’s responsibility or work them in our system as a Self-Pay collection account.