Setting Targets
- Understanding the normal turnaround time of payment for each carrier (Major carriers
both federal and commercial).
- Set an average turnaround time for the project as a whole .
Then work out the following:
- Take the total insurance AR (Accounts Receivables) for the project as a whole.
- Eliminate claims filed/Re-filed during the period starting from the date this target is prepared to going back to completion of the average turnaround time date i.e the claims which are with in the average turnaround time.
- Eliminate claims that are beyond this period but which has certain issues, which have still remained, unresolved
- On the balance arrive at; apply the average collection rate for the project as a whole. The
should work towards target
- Insurance did not received the claims (bullets is missing)
- Claim in process
- Claim pending ( for additional information / documents / medical records)
- Claim paid
- Claim denied.
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