TrueCare RCM

Out-of-Network Billing & Resolution Services

Out-of-Network, Quality Billing Services

(For varies Types of Practices)

Out-of-Network refers No Contract with insurance/s. So, understanding the nuances of different insurance plans and their policies might be challenging. Providers often encounter complexities when dealing with billing outside their participant networks. Incomplete or incorrect reimbursement processes may result in significant financial losses for your practice each year.

We are specialize in out-of-network billing to help you navigate these challenges effectively. We offer comprehensive out-of-network billing services, for the complete RCM from eligibility verification, billing submission to posting payments. Our focus is on streamlining administrative tasks of your practice, allowing you to concentrate on patient care. Additionally, we also provide detailed analytics and reports to help you track reimbursements and payments efficiently.

Choose us to conquer insurance complexities and achieve your financial goals with confidence. Our team of experts ensures that your practice maximizes reimbursements by understanding all insurance plans and regulations thoroughly.

The Satisfactory Reimbursement

OON Resolution Process

Not only for your existing but also for your Past OON Claims to get the correct reimbursements ultimately maximizing your practice’s overall collections and providing the financial stability you need.

Out-of-Network Correct Reimbursements

Make it Easy with Us

No payments or low payments for out-of-network services can pose financial challenges for providers, potentially leading to difficulties in covering operational costs. This situation underscores the importance of optimizing out-of-network reimbursements.

By partnering with us, we dedicate ourselves to meticulously reviewing all provider reimbursements, ensuring payers adhere to contractual obligations for maximum reimbursement.

Our team of industry specialists not only comprehends the complexities of out-of-network reimbursements but also excels in navigating state and federal regulations to secure accurate and fair health rates accordance reimbursements for providers, while go thorough via,

  1. Audit of Processing/s (Current and Past DOS’s Claims)
  2. Query Submission
  3. Follow Up
  4. Appeals
  5. Negotiations

OON Claims Negotiations

Services by Us

Healthcare providers are facing a prevalent challenge: ensuring proper reimbursement for services provided to out-of-network patients. This issue underscores the importance of effective out-of-network negotiation strategies. We, with our seasoned negotiation support team are committed to maximizing claim settlement and reimbursement rates. We employ expert negotiation approaches tailored to ensure healthcare providers receive accurate reimbursements while maintaining high standards of care.

Our services include both pre-service and post-service negotiation with insurances. This proactive approach ensures that reimbursement rates are established and agreed upon before or after services are rendered. We utilize best practices in negotiation, working directly with insurance companies or through negotiation vendors such as Multiplan, Viant, Mars and Zelis etc… This expertise enables healthcare providers to proactively manage out-of-network challenges and stay competitive in their field.

For OON Medical Billing & Resolution Services

Why Choose Us!

We are specializes in efficient out-of-network billing and resolution services, ensuring providers receive optimal reimbursement for their services. By outsourcing these billing tasks to us, medical providers can enhance their reimbursement rates and relieve the burden of billing management.

We offer the complete transparency throughout the entire claims process. With us handling your billing, you can rest assured that every step from coding to payment is meticulously managed, with real-time available monitoring at your fingertips.

We prioritize audit and follow-up on your current and past out-of-network claims and boast a dedicated team of experts focused on maximizing your revenue. With your Trust we are here to handle your Out-of-Network billing needs so you can concentrate on delivering exceptional patient care!

To know about your true revenue!

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BENIFITS

Reliable services for all your medical billing and coding hassles

TrueCare RCM will increase your collection rates, decrease rates of denied claims, reduce your account receivables, provide you with a clear graph of your practice performance and financials. Our services manage and simplify every step of the practice management from scheduling the appointment to billing and revenue collection.

We have a very experienced and competent team of medical billers, who have over 10 years of experience in the billing industry. Our team is very well aware of the advancements in health insurance companies and updates regarding state laws. In this way, Advantage’s best in class services provide clients with the support to run their practice effectively and efficiently taking practice management and revenue collection to new levels.

TrueCare

Choose us to

  • Increase revenue by reducing administrative costs.
  • Tailored medical billing services according to the unique needs of your specialty.
  • Customized and streamlined credentialing services for providers of all sizes.
  • Advanced practice management tools that provide financial and practice analysis tools.
  • Comprehensive and fast sign up process.