Claim Submission Services

Are dynamic regulations, inaccurate documentation, or faulty coding impeding the seamless submission of an insurance claim in your healthcare practice? Look no further than our HIPAA-compliant claim submission services. Our skilled team simplifies and expedites the frequently intricate task of claims submission, minimizing claims denials to enhance the efficiency of your revenue cycle management framework.

24+

Years of Experience

13+

Industry Verticals

5000+

Experienced Professionals

StripClaim Submission Services

How We Streamline Claim Submission Services for Your Practice

We maintain a perfect blend of cognitive intelligence and high-end billing tools to execute the entire insurance billing process with 100% accuracy and acceleration. This ratio drives our end-to-end claims submission services to maximize reimbursements while taking administrative burdens from your shoulders. Here’s how we do it:

  • Integrate the billing software with EDI, EHR, EMRs, and your practice management system (PMS) to minimize data entry issues and ensure a smooth workflow for electronic claims processing and payments for accelerated payment cycles.
  • Verify patient demographic details (name, address, physician referral, medical history), insurance information (coverage details, preauthorization requirements, effective dates, expiration dates, claims address), and other relevant details before submitting the claims.
  • Handle the process of obtaining prior authorization for procedures required by certain insurance plans.
  • Conduct real-time claims scrubbing to ensure the validity and accuracy of all procedural and diagnostic codes mentioned in the claims files before an electronic submission to the clearing house.
  • Assign specialists with specific expertise in billing types, including value-based billing, telemedicine billing, capitation billing, and episode-of-care billing.
  • Pay attention to the specificity of claims forms, such as using the CMS-1500 form to bill Medicare, Medicaid, and private insurance payers like Humana, Aetna, etc.
  • Ensure accuracy of CPT codes, ICD-10 codes, HCPCS Level II codes, revenue codes, and modifiers to minimize claims denials or rejections.
  • Dedicate a professional to overlook claims status inquiries. This person liaises between the payer and the healthcare company to follow up on the claims adjudication process. Identify and rectify any contractual adjustments mandated by the patient’s agreements with payers.
  • Receive EOBs from payers furnishing comprehensive information of medical services covered and not covered by patient insurance. This document delineates service charges alongside coverage details.
  • Resolve any disputes in claims submission and initiate an appeals process to ensure complete coverage for maximum reimbursement.
  • Furnish clear and comprehensive reports delineating charges, authorized amounts, deductibles, copayments, and co-insurance for every patient. Notify patients about their payment responsibilities to prevent unpaid bills for our clients.
  • Maintain accurate records of all claims-related transactions, including receipts, invoices, bills, and other relevant documents.

Our Comprehensive Claim Submission Services

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  • Patient Registration
  • Insurance verification
  • Coding & billing
  • Claims scrubbing
  • Claims submission
  • Claims follow-up
  • Accounts receivable management
  • Payment Posting
  • Denial management
  • Appeals Management

Request a Quote

Request a Free 30-minute Consultation With Our Claim Submission Specialists Today!

During your consultation, some of the issues we can discuss are:

  • Challenges and inefficiencies of your current claims submission process.
  • How do we ensure our procedures and services improve claims accuracy and submission efficiency?
  • List of our services and their benefits to your business operations.
  • How we adhere to the HIPAA, data security guidelines, and other regulatory requirements

Step-by-step process for Claim Submission Services
Step-by-step process for Claim Submission Services

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Why Choose Invensis as your Claim Submission Company?

As a premier claim submission company, we have 24 years of experience maintaining strict adherence to the industry's prescribed guidelines for claims submission. Our clientele encompasses a diverse spectrum, including but not limited to hospitals, physician practices, insurance companies, third-party administrators (TPAs), and government agencies, among others. The services are executed by our team of multi-level experts such as claims processors, CPC-certified coders, CPB-certified billers, claims analysts, credentialing specialists, CMRS-certified reimbursement specialists, and others. Their concerted efforts have helped us deliver up to a 98% clean claims rate, reduce claims denial rates to less than 8%, and ensure timely reimbursements with days in AR of about 35-40 days. Additionally, we have achieved a nearly 95% net collection rate.

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company
HIPPA-Complience

24+

Years of Experience

35-40

Days in AR

98%

Clean Claim Rate (CCR)

<8%

Denial Benchmark

95%

Net Collection Rate (NCR)

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What Our Customers Say

We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.

Christina Sussex
Leading Healthcare Provider in France

Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.

Christopher Middleton
Leading Healthcare Company in US

Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
sales@invensis.net
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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