EligibilityVerification

Eligibility
Verification

Prior to service being rendered by the provider, we verify the patient’s current insurance eligibility, update the patient’s account with the patient’s current insurance eligibility status, and red flag any concerns.

Claim Submission & Clearing-house Rejections

Claim Submission & Clearing-house Rejections

In accordance with payer standards, all claims will be generated and filed electronically or on paper. An acknowledgment of receipt of the claims by the insurer is checked to prevent any loss of claims. In the case of clinical discrepancies, any potential errors caused by the transmission of the information will be rectified and resent within 24 hours.

MedicalCoding

Medical
Coding

At Oversify, we understand that medical billing and coding is one of the most important processes in healthcare revenue cycle management preceding a claim submission. Accurate Medical coding services are essential to reduce denials and generate more revenue for our clients that is why we have the best talent from the market to work only for you.

PaymentPosting

Payment
Posting

The payment posting is one of the key processes that receive the utmost attention from our Operations management. The payments in lieu of claims that the Payer and Patients send are placed in the client’s medical billing system to balance the claim.

Accounts Receivable Management & Analysis

Accounts Receivable Management & Analysis

Our Accounts Receivable team evaluates expected and actual collections, determines the source of disparities, and implements remedial actions to recover the difference. Oversify’s methodical and controlled processes across the revenue cycle enable our AR team to maintain Days in AR under 25.

Correspondence &Appeals

Correspondence &
Appeals

When a new client joins Oversify, an initial examination of past outstanding receivables will be undertaken, and remedial action will be made to recover as much income as possible from claims filed prior to the customer joining Oversify. Following receipt of the EOBs, all denied claims are evaluated, amended, and re-submitted within two working days.