PPE Procurement Consulting
Revenue Cycle Management
Clearing house & Payer Rejection
The medical billing software on your desktop creates an electronic file (the claim) also known as the ANSI-X12 - 837 file, which is then uploaded (sent) to your medical billing clearinghouse account. The clearinghouse then scrubs the claim checking it for errors (arguably the most important thing a clearinghouse does); and then once the claim passes inspection, the clearinghouse securely transmits the electronic claim to the specified payer with which it has already established a secure connection that meets the strict standards laid down by a HIPAA.
At this stage, the claim is either accepted or rejected by the payer, but either way, a status message is usually sent back to the clearing house who then updates that particular claim’s status in your control panel. Now you have an accepted or rejected claim. If rejected, you have a chance to make any needed corrections and then re-submit the claim.
A rejected claim has been rejected because of errors. An insurance company might reject a claim because a medical billing specialist incorrectly input patient or insurance information. Once a medical billing specialist amends the errors on a rejected claim they can resubmit it for processing with an insurance company.
Reasons to Choose Purview Healthcare for Clearinghouse & Payer Rejection Accurate Resolution For Rejection
Our team at Purview Healthcare has professionals who pay great attention to detail, which ensures that the rejection resolution provided are highly accurate and error freeOur team at Purview Healthcare has professionals who pay great attention to detail, which ensures that the rejection resolution provided are highly accurate and error free
Quick Turnaround Time
We make sure that we deliver all the services within a quick turnaround time to prevent any delay in rejection resolution.