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Payment Reconciliation

Our automated Electronic Explanation of Benefits (EOB) and remittance advice provides a complete summary of benefits approved or denied for medical services rendered. Our expert team carefully reviews each EOB to ensure financial accuracy and compliance with best practices, closely analyzing overpayments, recoupments, and reimbursements to align with practice standards.
  • We assess the approval or denial of benefits and manage overpayments, recoveries, and refunds.
  • We support healthcare providers in maintaining regulatory compliance, optimizing revenue capture, and ensuring financial integrity.
  • We examine payment disparities to identify and correct any mistakes or irregularities.
  • We continue to support healthcare providers in upholding compliance, optimizing revenue, and preserving financial integrity.

Electronic Explanation of Benefits Processing

Automated Processing

Leveraging advanced technology speeds up remittance advice and EOB processing, improving efficiency and accuracy in payment management.

Specific Details

Our system captures both authorized and denied benefits, providing a clear view of medical service payment transactions.

Effective Analysis

We efficiently analyze EOBs to ensure accurate payment reconciliation, quickly identifying and resolving any discrepancies.

Overspending, Recoveries, and Reimbursement Analysis

Comprehensive Inspection

Our experts carefully inspect overpayments, recoupments, and reimbursements to ensure they align with practice guidelines and industry standards.

Financial Correctness

We thoroughly check payment transactions for accuracy, minimizing errors and inconsistencies that could affect your clinic's financial stability.

Compliance Assurance

We ensure strict adherence to industry norms and regulations, guaranteeing compliance with invoicing and reimbursement requirements.

Financial accuracy and compliance

Audit Trails

Our payment reconciliation systems include detailed audit trails to track payment transactions and identify any inconsistencies.

Regulatory Compliance

We stay up to date with regulatory changes and compliance standards to ensure your practice remains fully compliant.

Financial Integrity

We safeguard the financial integrity and reputation of your practice by ensuring accuracy and compliance in all financial transactions.