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Medical Claims Processing: What Does a Medical Claims Processor Do?

Caring for the health of your patients is the most important part of your business. That is why millions in the healthcare industry rely on specialized professionals, like Apex EDI, to manage the complex interactions between healthcare providers and medical insurance companies. Allowing others to handle this responsibility for you lets you focus your attention where it should be, on the patient.

When a patient seeks medical care, behind the scenes Apex EDI manages the transaction between the provider and the insurance company. We obtain a record of medical services provided from the office, clinic, or hospital and we handle the responsibility of sending healthcare claims out to the patient’s insurance company.

Medical Claims Process can be complicated

The medical claims process is a complicated, yet a crucial component to making sure you get paid accurately and quickly. The knowledgeable staff at Apex EDI understands medical coding, billing terminology, compliance requirements, common errors and the best ways to work with a variety of insurance providers from HMOs, PPOs to Medicare and Medicaid.

We know that payers can deny or reject claims when errors are made. We want to work

with you to help make sure your patient receives the best care possible, receives the insurance coverage they are entitled to, and you get paid in full. There’s nothing more frustrating than dealing with financial payment discrepancies during a health care crisis.  

Working with a medical claims processor can have a positive impact on your healthcare practice and your financial bottom line. Contact Apex EDI to request a free demonstration today.

Posted in: Medical Claims Processing

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