Sending clean and accurate claims is the key to full insurance reimbursement. That's why BillingParadise helps you send electronic claims to thousands of payers, print national and state-specific paper claims, and receive electronic claim processing reports. It helps you maximize insurance reimbursement while safeguarding your physicians' cash flow against any disruptions.
Some insurance claims,such as those that require additional paper attachments, must need to be submitted on paper claim forms. You can configure different claim form for primary and secondary billing scenarios.
For most insurance companies, you'll use our standard CMS 1500 Form or our newer CMS 1500 Form with support for the new National Provider Identifier (NPI) numbers.
For certain payers, you can also tap into our library of state-specific and workers' compensation claim forms. Finally, you can customize the provider and group numbers that appear on your forms using advanced settings.
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We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
BillingParadise provides multiple levels of reporting as your claims make their way through the claim submission and adjudication process. Once you submit your claims, our systems automatically review all of your claims and return internal validation reports to highlight claims with missing information, such as missing provider or group numbers, missing patient information, or incorrect policy numbers.
Once your claims pass our internal validation, we forward your claims through one of several clearinghouse partners who also review your claims and return daily reports that highlight claims that have been rejected for various payer-specific reasons.
Once your claims are delivered to payers, the payer may respond with reports highlighting claims that have been rejected for various reasons prior to the adjudication process. Finally, you may receive electronic remittance advice (ERA) reports once payers process your claims and issue payment.
You can take advantage of our advanced claim printing rules engine to handle attachments, workers' compensation billing scenarios, or other unique situations.
You can configure different claim forms per state, billing scenario (e.g. Medicare, workers' comp, etc), and/or procedure code. You can set up rules to print and pre-collate attachments, send copies of claims to multiple recipients, and even print envelope labels.
Scrutinizes insurer compliance with contractual terms and audit remittances.
Lists out top paying CPT codes so users know where to focus on to drive up revenue.
Inbuilt claims scrubbing tools to increase your first pass claim acceptance rate
Maps denial reason codes to identify denial trends and address problem areas.
Prioritizes and organizes pending AR into buckets based on age, claim value & insurer.
Provides extensive net collection reports that detail insurer and patient collections.
The words that mean the world to us...
I used to wonder why after working for almost 10 hours a day my collections were dismal. I found out that the fault lay with my billing team who couldn't come up with innovative solutions. My collection ratio has increased by almost 30% after working with team BillingParadise