We have experience in 2 types of EOB processing for USA based Insurance company (Clients name and address Confidential)
1. Online EOB Processing
For every working business day, the clearinghouse receives image files (*.tiff) from the bank that contain the correspondence, checks, and the EOBs related to each check. This data makes up the Lockbox Payment Batch.
The Check Batches that were split by payer are then re-associated with the Lockbox Payment Batch. Lockbox batches that contain Data transactions only termed as Correspondence Lockbox Batches. Our processors need to work on each and every check’s associated with each Payment Lockboxes Batches. The image corresponding to the check’s will be displayed at the top of the tool provided by our client and we need to complete the check’s by validating all the EOB records, so that the Check Pmt Amt and EOB Pmt Amt are the same with a difference of $0.00. The Check level screen will show only one image at a time
2. Claim Form Processing
Capturing patient details from HCFA, CMS 1500, UB 04 and 92 forms, Texas, Florida and Dent Forms in to front end tool developed by our company and submitting the captured details in data base files to the clients. Usually the images are transferred by the client to us by uploading the same in secure FTP and the same process we are following while submitting the database files to the client.
Deliverables depends on the data. Our hourly rate is just $4/hrDelivery Time:1 Day(s)
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