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HOW

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 are built into the software to check claims against industry rules.
  • All claims not responded by insurance carriers within 30 days of filing are automatically flagged  and sent to the AR follow up team.

HealthShield's edge:
  • Better Performance
  • Specialty Trained, Experienced Staff
  • Informative Timely Reporting
  • Fee Schedule Optimization
We achieve consistant cash-flow collections by submitting timely, clean claims. We immediately identify late and underpaid claims and provide extensive follow-up by our team of experts.

We are confident that we will be able to identify areas for improvement and achieve increased revenue for your practice.

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