We all know that dealing with denied claims is a hassle. Researching and tracking down a denied claim can be frustrating, especially when you’re up against time. Just as soon as we understand the terms of the payer those terms change, and you’re left investigating the denied claim, which can take hours. The longer you wait to resubmit the claim the less likely you’ll get paid. MedTrioPM™ can help reduce claim rejections and assist you in managing your claims through internal auto-filtering.

Once you have submitted your claims, you can track them with our “Unpaid Insurance Report”. This report shows claims that have been filed to insurance, but no payments have been made by the insurance payer. Likewise, there is also an “Unfiled Charges Report” that you can check to ensure that you did not forget to file a claim. These two items can be setup for the dashboard so you can check these and any managed items for issues.

Prevention is the best strategy. Missing information can be caught before you submit your claims. Our billing software helps catch front-end billing/posting errors.

Another common problem is late filing to secondary payers. MedTrioPM™ includes a very flexible setup so you can set the software to automatically take care of cross-overs or automatically file to the secondary once the primary has been posted.

Why not just get ahead of these issues altogether and let the system automatically check the patient’s eligibility before the patient comes for their office visit? MedTrioPM™ can automatically check patient eligibility before the patient comes in for their appointment so you can notify the patient if needed regarding their eligibility status. Automatic eligibility and benefits can be setup to check for future appointments and retrieve all the information needed to verify insurance. Eligibility can be setup to verify both primary and secondary at the same time.

Author: Jennie Welter

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