Claim Submission
Electronic
Through our clearinghouse, we are able to submit claims electronically directly to the insurances. Also includes ANSI835/837
Portal
Claims are submitted directly to the insurance's portal.
Mail/Fax
Claims can also be submitted via mail and fax.
Claim Monitoring
Our EDI Department tracks the process of claims from submissions by:
- Monitoring transmission of claims to guarantee a high acceptance & success rate
- Tracking rejected claims to ensure correction and resubmission
- Onboarding doctors, locations & plans for successful billing
Payment Processing & Applying
Remittance & EOB Processing
Process remittances and EOBs electronically, as well as paper checks
Reconcile Balances
Automated denial write-off process based on denial codes to reconcile claims faster.
Denial Tracking
Denials on remittances & EOBs are tracked and forwarded to Denial Resolution Team for reconsideration & appeals.
Insurance Follow Up
- Follow up on unpaid claims to avoid aging claims on AR.
- Expedite payment, reprocess claim & resolve billing issues.
- Ensure prompt payment turnaround.
No Data Found
Denial Resolution
Denial Review
Analysis of denied claims to determine additional opportunities for revenue.
Special Projects
Identifying trending denials to work these in bulk as special projects by plan, location and/or denial reason.
Positive Impact on Collection Rates
Assess collection rate to work denials and increase payment reimbursement.
Client Services
Contact us by phone, email, fax, or mail any time to assist with concerns such as:
- Plan Billing Information
- Explanation of Payment
- Complaint Resolution
- Claim Research
- Payment Application
Contact us today for a fast and easy quote!
Contact US
GVS RCM Optical
- Myles Lewis, President & CEO
- 347-315-6869 Ext. 317
- mylesl@gvsbenefits.com