MEDICAL CLAIMS PROCESSING

Total Billing Solution...

Do you need assistance processing claims or with patient billing?
Do you need assistance with complex compliance issues?
Are you overwhelmed just trying to keep up with industry changes?
Are you a small individual or group practice struggling to stay alive?
Are you tired of dealing with insurance carriers?
If you answered "yes" to any of the above questions, TRI MED SOLUTIONS can help you! As an extension of your office, working closely with you and your staff, you'll discover a stress free solution and a profitable financial future!

Claims Filing Only (Without Follow-up)
Entering and submitting primary and secondary claims, per date of service.
Posting of payments only on primary claims requiring a secondary billing.
Submitted Claims Report that includes claim detail as well as information needed in order to perform in-house tracking of claims.

 
Full Billing Services Include the following:
    * Entering and submitting primary and secondary commercial claims, up to six CPT lines per date of service.
    * Entering and submitting Monthly Workers Compensation Claims with required attachments.
    * Following up with insurance carriers and/or the clearinghouse to assure claims have been accepted.
    * Calling insurance carriers to check the status of your claims.
    * Posting payments to your insurance claims or self pay patient accounts.
#  Tracking unpaid procedures and sending Letters of Medical Necessity when necessary.
# Resubmitting claims to an insurance carrier, upon request.
# Notification to our clients regarding any "Incomplete Claims" which were unable to be processed as a result, or when additional information is required by the insurance carrier to adjudicate your claims.
# Generating patient statements (paper) on a monthly basis to any patient with a balance due of $25.00 or more.