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Claims Management

Do you ever question the effectiveness of your current billing operations?
Is your cash flow less than it should be each month?
Are more than 2% of your claims getting rejected   each month?
Increased cash flow

If so, we can offer you a long-term solution that will resolve all of your Medical Billing Management needs. You can save up to 60% of your billing expenses. Our full service program will completely eliminate all of your billing headaches, while increasing your revenue and reducing your overall costs of operation.

We manage all aspects of your billing including:

Fee Schedules, Coding, Claims Follow-up, Patient Statements, Patient Inquiries, and so much more.

We process and adjudicate the following forms:

Medical insurance forms
Dental insurance forms
Re-pricing documents
Medicare HCFA 1500 forms
Medicare UB92 forms
Medicare Remittance Notices (MRN)
Explanation of Medicare Benefits (EoMB)
Medicare Summary Notices (MSN)

Entities Involved in Processing Medical Claim

Patient
Medical Service Provider
Medical Insurance Provider (HMO, PPO, etc.)
Employer
Medical Claims Adjudicator

Life Cycle of a Medical Claim

Patient visits Medical Service Provider.
Medical Service Provider sends insurance claim forms to the Medical Insurance Provider.
Medical Insurance Provider sends medical claim forms to Avanti.

Avanti adjudicates the claim.
Avanti
sends adjudicated claim to Medical Insurance Provider.
Medical Insurance Provider sends payment or rejection to Medical Service Provider. Patient is notified.

Please contact info@avantihealthcare.com for more details.

 
 
 
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