HealthShield Practice Management

How we do it:

All claims are triple audited by billing specialists before filing.
Payments are filtered through insurance contracts, MCR and MCD fee schedules to see if the reimbursements are at the correct level.
All underpaid and denied claims are classified and reviewed for representation of carriers.
Practice specific edits built into the software to check claims against industry rules.
All claims not responded by insurance carriers within 36 days of filing are automatically flagged off to the AR follow up team.