AR and Claims Follow-up

Promantra understands that as a practice every $ not billed and every $ not collected impacts your bottom line directly. Based on our findings, we have aligned our resources and our delivery model to maximize revenues for practices across the United States:

• 14% of all claims submitted to the payers are denied and have to be resubmitted, appealed or written off by providers.
• 50% of denied claims are never re-filed.
• 50-70% of denied claims have higher chance of being recovered.

This can cost millions of dollars a year for a clinic or a practice.

With highly skilled associates and cutting edge technology, Promantra can enhance Provider's revenue and sequentially increase your organization's bottom line by payment processing, reducing days in A/R, claims submission improving collection ratio and increase the probability of payment through timely follow-up.

We have Certified Billers who are heading our team with a minimum of 8 years experience and a team's average experience of 5 years. We provide aggressive follow up with the insurance company's on all accounts at any stage of the aging bucket. With a robust system and impeccable delivery model, we can provide you with

• Improved cash flow & Increased Revenue for the Provider.
• Increase in your organization's bottom-line
• Timely Claim Submission
• Higher collection ratio
• Superior customer satisfaction and structured AR follow-up approach.

Prioritization of claims & Follow-up plan

The priority of the claims follow-up will be based on the following:

• High Dollar high age - These claims would be processed on priority as the claims need to be followed up before we exceed the filing limit.
• High Dollar low age - Next focus would be on high dollar claims with low age as the chances of collection are higher.
• Low Dollar low age - These claims have higher probability of collection. However, need many more resources to follow-up
• Low Dollar high age - These claims are given last priority as these claims have less chances of collection and need high number of resources to follow-up.

Promantra would deploy enough resources to allow follow-up on all the above 4 categories simultaneously.

A Synopsis

• Identifying accounts that require AR follow-ups
• Account Receivable analysis
• Focus on low-value, low margin accounts that make it difficult for you to profitably recover your revenues
• Strategic approach to maximize recovery.
• Use all suitable channels of communication for follow-up. This includes web, phone, email or fax.