Monitoring the status of insurance claims is an integral part of efficient revenue collection. Even when an organization submits primary and secondary claims timely, follow-up steps are often required. These steps include tracking claims to determine statuses such as delinquency, denial, whether a claim has been paid to the patient, or whether the insurance company is requesting additional information in order to process a claim. CareRevolution presents an organization’s office staff with all errors and rejections so they can be promptly acted upon.

Delinquent Claims

If a carrier doesn’t respond to a submitted claim, there must be a reason behind the lack of response. CareRevolution's built-in functionality allows a practice to closely monitor the response period. This functionality works from criteria designed to notify office staff when a claim has reached a certain age without resolution.

Errors and Rejections

Addressing errors and rejections swiftly is vital to reducing the time between submission and payment. CareRevolution gives an organization's staff the ability to track errors and rejections so that they can be resolved quickly, in order to facilitate claim filing. This also allows for proper statement reporting to the guarantors.