Patient Payments : Our clients report patient payments made at the time of service to us. Co-payments, deductibles, and payments for uninsured services are all examples of what these payments are used for. After reviewing the data, our team makes the necessary adjustments to each patient's account.

Insurance Posting : We process Insurance Payments in the following formats

• Electronic Remittance Advisory - We receive many ERAs at once from payers and process them in batches by uploading them to the client's EHR. Whenever a batch job is executed, unforeseen problems can arise; we fix them, and we also double-check the batch's final tally.
• Manual Posting - Scanned Explanation of Benefits forms are a common form of communication from our clients. Each batch of EOBs is downloaded via a secure FTP via the EHR system and then adjusted, written off, and transferred to secondary insurance providers or the patients themselves in accordance with the client's business requirements.

Insurance Payment Posting – Manual : Despite the prevalence of electronic EOBs provided by many payers, manual EOBs are still occasionally sent alongside payments. In accordance with the regulations for adjustments, write-offs, and balance transfers that we have established along with each facility/practice, the RM Healthcare team handles these payments with a high degree of precision.

Insurance Payment Posting – Electronic (ERA) — At the time of service, our clients inform us that patients have paid for their care. These are used for things like deductibles, co-pays, and out-of-pocket costs for services that aren't covered by insurance. Our team reviews the information and makes the required changes to each patient's account.

Denial Posting — Posting denied claims is crucial for gaining an accurate picture of the A/R cycle for each customer. When a claim is denied, the payer will often send back an ANSI rejection code and, in certain cases, medical coding instructions that are unique to that payer. We are well-versed in both ANSI standard denial codes and the codes used by most major payers. If a claim is denied, we document it in our practice management system and either resubmit it to the original insurer, bill the patient directly, cancel the claim, or resubmit it for reprocessing.