In order to have a smooth and successful claim submission process, it does not suffice to have just the capability of processing claims. A big requirement for successful healthcare claims processing is following industry standards, meeting the highest federal and state requirements.
WWS claims scrubber combines process and technology to ensure clean claims and ensures that the issues are sorted at the claim edits level.
Clean claims are key to good cash flow, but it's a complex process that requires significant time and resources. With WWS, you can increase your clean claim rate and decrease your overhead, ultimately saving you money and maximizing revenue.
Experience Quicker Turnaround Times Getting Your Claims Processed.
Managing Multiple Clearing Houses
Clearinghouses act as middlemen between providers and payors. They scrub claims for errors, check them for industry standards, and format them to insurance carrier requirements before submitting. Eliminating the need for clearinghouses can speed up the entire billing process and make your workflow easier.
Receipt Collection
The first step in our solution is to obtain an itemized bill from the healthcare provider that details all services provided to the patient, as well as the cost and relevant code for the treatment provided. Flatworld Solutions' team will assist you in gathering all necessary documents and receipts.
Filling Out a Claim Form
The claim form includes information about the patient's illness as well as the services that were provided. It also determines whether or not the expenses were claimed under the client's insurance plan.
(Name, Address, and DOB)
Insurance policy and group identification number
Background information and the reason for the visit Name and address of the healthcare provider
Any expenses that the patient has already paid for
Ensuring productivity and streamlining processes, an Electronic Clearinghouse solves your largest administrative concerns.
Here’s how:
WWS has worked with almost all the major clearing houses nationwide and we know to pick what works best for your practice depending on the region / service location.
The best clearinghouse providers offer many advanced features that make them worth their weight in gold. These include eligibility verification, sent file status, claim status reports, rejection analysis, paper claims (created for you and mailed when necessary), secondary claims processing, electronic remittance advice (ERA), patient statement services (you no longer have to mail out all those patient statements each month), payment processing and transaction summaries of all your clearinghouse activity.