Electronic claims are submitted through a clearinghouse. Primary and secondary insurance claims are submitted daily, with all necessary attachments and documentation. All attachments are sent electronically with the claims, if any insurance company does not accept electronic submissions, we will submit a paper claim using postal mail. Our specialists ensure all claim errors are audited BEFORE submission. All denials are immediately investigated and appealed the same day. Claim denials occur when they are not reviewed before submission, occurring several times per week. When Insurance claims are being denied it can be frustrating. Insurance companies have red tape-like rules which is why it is vital to have the knowledge, skills, and experience it takes to better understand the process. If a claim is denied, if appealable, we will investigate the reason and appeal the claim with additional documentation. We ensure you collect as soon as possible.
Our dental service extends beyond just submitting claims. We handle insurance account receivable follow-up to ensure you are paid what you’re owed. Progressive Office Solutions specialists will be responsible for cleaning up the aging report by following up on all thirty days or more of unpaid claims and documenting claims that have been worked on. Reports are reviewed monthly and punctiliously worked on daily. Our effective insurance model helps dental offices in recovering overdue payments from insurance companies easily and on time.
Insurance payment posting is an essential process for the revenue cycle, when mishandled it can have adverse financial implications. Managing of payment postings helps in catching billing errors and provides the chance to correct them. Upon receipt of the explanation of benefits (EOB), payments are posted by Progressive Office Solutions, and adjustments or denial follow-ups are initiated. EOBs are indexed to patient accounts for ease of access by your staff.