Healthcare reimbursement is becoming increasingly complicated. Given the tremendous volume of claims, layers of data, and contractual variables, friction between providers and insurers is inevitable. We believe all providers should be fully reimbursed for the services they provide and need a level playing field when dealing with payors.
Effective revenue cycle operation requires a consistent, engaged and effective means of addressing, assessing, and resolving payment disputes – when and where they arise. A consistent and effective dispute resolution process strengthens payor-provider relationships to resolve claims on an ongoing basis.