Insurance / Clearing house Rejection Management Services
Clearing house Rejection plays a critical role in the revenue cycle management by electronically securing the protected health and financial information that is provided to medical insurance companies. It acts as an intermediary between your practice and the payors by reviewing your claims. The cleaner your medical claim is, the fast and more likely it is to get approved in the first submission. If a claim gets rejected by the clearinghouse, it should ideally be handled in the first 24 hrs.
Reasons for a Clearing House Rejection of Claims Services
- Duplicate claims
- Unverified eligibility for insurance coverage or benefits
- Missing or invalid patient ID, member ID, Referrer ID, or Payor ID – Invalid diagnosis code
- The zip code is out of state
- Missing or invalid National Provider Identifier (NPI)
Why Choose Astron EHS for Insurance Rejection Management Services
- Our years of experience working with the best dental and health insurance companies and clearing houses give us an edge on how to turn rejections into approvals. ∙ We act fast and take up clearinghouse rejected claims on priority.
- Astron focus on accuracy. We assess the error message received (such as entity not found, Medicare member ID must be alpha/numeric, segment REF is missing, etc.) and make the changes by collecting the required information.
- We scrub-corrected claims and submit them.
- Our team stays updated with the latest codes to handle errors or outdated entries quickly and resubmit the claim.
- 25% of unpaid claims are never followed up. We dedicate ourselves to the process and ensure you don’t lose revenue.
Suffering from a lot of rejected claims and losing revenue? Contact us today for a quick quote on (phone number) or fill out our form!
