Most claim denials are not caused by healthcare providers. Specifically, such underpayments have nothing to do with eligibility, improper coding, or a lack of medical necessity. Instead, they occur only because of mistakes committed by insurance payers upon processing.
WCH billing experts constantly identify & work on each claim denial or underpayment. We communicate with insurance payers on your behalf and make them overturn their decisions for claims that have been underpaid incorrectly.
In most cases, claim denials are quickly reprocessed with the help of payers’ customer service. However, sometimes it is not enough, and we have to appeal such cases with payers.
Nevertheless, payers may often fail to overturn their initial decision even after an appeal. This is the case when our clients start utilizing our services to their fullest. WCH Service Bureau billing service offers an all-inclusive reimbursement maximization approach. Namely, we submit inquiries to the State Department of Financial Services on your behalf and conduct all the necessary correspondence with this agency later on. DFS appeals are free of charge, and they nearly always can influence payers to reprocess previously denied claims.
We create, submit, and follow up on such inquiries for you so that your practice would never experience any financial losses.
Insurance billing has never been easier! Contact us.
