Claim Creation & Billing Services

Efficient claim creation and billing are essential for a seamless revenue cycle and timely reimbursement. At Advantawise, we help healthcare providers streamline their claims submission process to ensure that claims are created accurately and submitted promptly. Our Claim Creation & Billing Services reduce errors, prevent delays, and accelerate cash flow for your practice or healthcare facility.

The Challenge :

Healthcare providers face several challenges when it comes to claim creation and billing

• Incorrect Claims: If claims are created with incorrect codes or missing information, they may be denied or delayed, affecting reimbursement timelines.
• Time-Consuming Process: The process of creating and submitting claims can be tedious and timeconsuming, often pulling your staff away from other critical tasks.
• Complexity of Multiple Payers: With multiple insurance payers and varying claim requirements, creating and submitting claims that meet each payer’s standards can be difficult.
• Claim Rejections and Denials: If claims are not filed correctly from the outset, providers are likely to face claim rejections and denials, leading to extended billing cycles and loss of revenue.

Our Solution :

At Advantawise, our Claim Creation & Billing Services are designed to reduce the risk of claim errors, speed up the billing process, and ensure that your claims are submitted correctly the first time. Our experienced team handles all aspects of claim creation, from initial data entry to final submission, ensuring your practice receives the reimbursement it deserves.

• Accurate Claim Creation: We ensure that all claims are created accurately with the correct codes, patient information, and insurance details. By ensuring proper coding from the start, we reduce the chances of denials and rejections.
• Timely Claims Submission: Our team ensures that all claims are submitted promptly to prevent delays in reimbursement. We understand the urgency of timely claim submission and work efficiently to reduce accounts receivable (AR) days.
• Compliance with Payer Guidelines: We stay updated with the latest payer-specific requirements and regulations, ensuring that your claims meet all necessary criteria before they are submitted.
• Comprehensive Claims Management: From creating the initial claim to following up on its status, our team manages the entire claims lifecycle. We ensure that any issues or discrepancies are quickly identified and addressed, ensuring smooth payment processing.