Worker's
Compensation
Claims

Commercial
Insurance Claim
Follow-up Service
 
Contract Collection Service
of Patient Accounts

Billing Service
of Non Delinquent Patient Accounts

Pre-Collect Service of Non Delinquent Patient Accounts

Self-Pay Collection Service
of Non Delinquent
Patient Accounts

Does your facility have any of the following problems?

• Reduced cash flow caused by lengthy delays (sometimes months) of insurance payments?
  
  
• Excessive rejections due to errors in filing which creates lost time and money?
  
  
• Less productive and insufficient staff because of claims that seem to multiply?
  
  
• Too many staff labor hours dedicated to claims processing?
  
  
• Constant calls to insurance carriers resulting in voice mail messages?

You hire specialists to handle your business needs such as computer programming, accounting and other time consuming areas that are not cost effective to manage internally. Why not hire a collection specialist to manage your commercial insurance account follow-up? It makes good sense for your facility to retain a third party to get involved in these accounts before they become extremely aged and more costly to collect.

Allow us to take care of your insurance claims

American Adjustment Bureau has developed a low cost alternative for the follow up of your commercial insurance claims.

Our Follow-up Service works like this:

You determine which commercial insurance accounts you feel should have already been paid or rejected.

You assign to us those commercial insurance accounts on which there has been no response. These accounts will be given to a collection specialist who will initiate a telephone call to the insurance carrier within 24 hours of entry into our system.

A follow up phone call will be made daily if the first phone call did not result in a discussion with a "live person". We will not be satisfied with just leaving a voice mail message. If need be we will quickly switch into the mode of tracking down a supervisor to rectify this claim. Once we have reached a "live person" we will re-verify the eligibility and determine the status of the claim.

Based on this conversation we will determine why payment has not been made.

If the insurance carrier does not show the claim we will re-verify all the information and resubmit the claim. If there has been a rejection we will find out why and request an explanation of benefits. We will obtain any information that the insurance carrier may need to process the claim. We will fax information, use certified mail, and next day express when we deem suitable.

This includes but is not limited to medical records, third party liability information, PIP and other motor vehicle insurance documents, accident information from the insured, proof or non proof of other insurance, full time student information, workers' compensation Form 43 or other satisfactory denial information. Basically we will secure the information to get the claim paid from any source necessary.

If a claim has been denied we will explore the appeal process and initiate it on the accounts that we feel warrant it. We will follow up the status of the claim throughout the appeal process and see it to its conclusion.

Once the insurance carrier advises us that the claim will be processed we will follow up in the appropriate time frame and will continue to do so until the account is paid. All payments will be directed to your facility.

If we need to contact the patient to expedite the processing of the claim we will make sure that it is clear that they have not been placed with us for collections that we are pursuing the insurance carrier on behalf of your facility to secure payment. Or if you wish we can call them as an extension of your patient account department.

If we determine that another insurance carrier is responsible for the claim we will obtain that information and submit all billings to them.

If it is determined that the insurance was not in effect and we are not able to verify any existing coverage we will return the accounts back to you so that you may bill the patient. We will obtain a formal denial for your records and supply you with a monthly list of these returns.

We will also supply to you a monthly electronic update report on all accounts.

We will come to a finalized conclusion on all accounts in rapid fashion so that these accounts become money producers.

While this is a time consuming process, we are experts in dealing with commercial insurance follow-up and we will not stop working your accounts until a final resolution is determined on each and every account placed with us.

You only pay us when you get paid on the accounts.

We offer this service to you at a low contingent rate per account