Claim Processing & Submission

Claim Processing

Medical billing process is a crucial step in regulating and progressing the medical healthcare services. Whether its a growing healthcare practice or a well-settled medical care providing organization, outsourcing the claim processing can enhance the revenue cycle management and reduce the denial. NexusMD Solutions offers advanced claim processing that you can leverage reliably to reduce the errors. We help to accelerate the reimbursement of your organization with our professionally driven claim processing services.

Automate Claim Scrubbing Solutions

Claim denial is one of the biggest difficulties that health practitioners have to face while managing a healthcare organization. Claim processing requires submitting the claims along with the relevant documentation to the insurance company. The process can be very hectic and requires complete precision to avoid the denial and errors. NexusMD Solutions have expertise that can review the data to analyze the data integrity before submission. We are compassionate in our services and offer practical solutions to enhance the medical billing of healthcare organizations.

Claim Submission

Claim submission services deal with reviewing the data before submitting to the payers. NexusMD utilizes the functionality to streamline the claim scrubbing. Our relevant experts work on identifying the cause of rejections, work on it and make edits before proceeding to the submission of claims to insurance payers.

Edits & Rejection Management

According to a survey about 10% of claims face quality, reconciliation and payment issues. NexusMD works on this particular aspect with our edit and rejection management team before the final submission of claims. This approach helps the healthcare organizations to face less claim denials. Our services includes;

Effective claim submission.
Precise Edit work.
Tracking and reporting.
Customized solution.

Tackle Primary Challenges of Health Care Claim Processing

Medical experts are on one of the toughest jobs and it came with a lot more challenges. Offering great clinical care and support to patients is a full time job but along that, maintaining medical billing is also one in its own aspect. Claim processing is a necessary step in maintaining RCM and it has a certain range of problems. NexusMD Solutions fully take on the lengthy process of claim processing. We share the burden of your medical billing department by dealing with transections, associated patient and payer’s data. From invoice processing to mail fulfillment, our experts shorten the cycle time and maximize the data quality. We use claim data entry automation to reduce the cost while delivering high quality claim data.

Why Choose Us?

NexusMD Solutions is enjoying steadfast trust of our thousands of regular clients all across the country. Our dedicated goals to expand medical practices of our partners make us a trustworthy choice to collaborate with. We strive with our high mission-oriented goals in development and functionality ranging from BPO, RCM to VMA and everything between gives us an edge over our competitors. Our commitment to data security, enhanced productivity and transformative approach make us the clinic support your medical billing is looking for.