Payers

Claim Adjudication Process

Introduction The adjudication process is also sometimes referred to as the claims management process, but it is important to note that they are different processes. In this article, we will explore what the difference between them is, what steps you can expect when you submit a claim through your insurance…
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WHY-IS-DAYS-IN-AR-IMPORTANT

WHY ARE DAYS IN AR IMPORTANT

Introduction Days in AR is a very important concept. It explains the impact of delayed payments on cash flow and measures the amount of time between payment being due and when it clears your bank account. The concept is primarily used to evaluate a practice’s financial health. A high days-in-AR…
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MEDICARE SECONDARY PAYER (MSP)

As a “secondary payer,” Medicare is the next in line to pay your medical bills. If you are covered by another insurance plan in addition to Medicare, that insurer is likely to be the primary payer of your medical bills. The primary payer will cover the claim up to his/her…
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