• We check the patient information (new appointment or old appointment) including its insurance verification to process the claim for the services rendered by healthcare.
• We hold a strong grip on patient’s record in order to support flawless billing with proper encryption and security controls.
• We verify with details provided before claim submission.

• Our team verifies the end to end Patient’s insurance strictly.
• Eligibility and policy benefits are thoroughly cross checked.
• We make a clear note in case the insurance claim can be obtained for the services rendered.
• Internal software system to verify the patient's data in order to speed up the work.

• Patient’s medical records are clearly monitored and charged with an appropriate value.
• We ensure that charge entry sheet must contain no errors at different level of processing, for easy revenue claims and payment posting.

• We ensure and focuseson payment postings to the patients without facing denials.
• EOB (Explanation of benefits), Correspondence, ERA received from the insurance will be posted to concerned patient claims.
• Denials and payments are captured by the posting team with EOB or correspondence receivables from insurance companies.
• Our posting team to match the bulk payment receivables in order to tally with the cheque amount.

• Denial management is handled with due care by AHC team being key factor in Revenue Cycle Management.
• It motivates a profitable revenue growth by reducing the denials with insurance company.
• We address the denied claims on various issues and maintains constant follow-up.
• We always take proactive measures to decrease denials and increase revenue payments for our clients.
• Prioritize denied claims based on payer, amount and others to ensure maximum reimbursements
• In AHC each denied claims are analyzed and verified internally for best course of action.

We are focused on lower denials and increase the Revenue cycle.

• Collect all the data and documents required for filing credentialing applications from the physicians
• Store the documents centrally on our secure document management systems
• Apply the payer-specific formats after a due audit
• We do timely follow-up with the Payer to track application status
• We obtain the enrollment number from the Payer and communicate the state of the application to the physician.