Process:
Receipt of Files from client: BreakThrough receives scanned copies in “.tif” format of EOB’s (Explanation of Benefits) and checks from the client through a FTP site.
Download and Allocation of Files: The files uploaded from the client using the FTP site will be downloaded by BreakThrough’s Medical Billing Team and allocated to the appropriate Payment Posting Team.
Patient Demographics Entry: After the files are downloaded and allocated to the appropriate team, the Payment Posting team enters details such as patient account number, billed amount, allowed amount, adjusted amount, paid amount, and denial details into the billing system.
EOB Follow -Up: For partial payments, analysis is done and corrective action is taken.
Denial Analysis: BreakThrough billing resources, with substantial experience in the U.S healthcare industry, analyze the EOB’s and the claims and take the necessary actions to recover the due amount.
Client Feedback: On receiving Quality Feedback from the Client, BreakThrough shall work towards improvement and refinement in the Billing Process in order to provide the most accurate and reliable services.
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