Aegis Associates Pvt Ltd

The patient list, a copy of the insurance card and demographic details are sent to us via email/fax or secure FTP. Our claims specialist verify the eligibility of patient and the details are sent to your office in prescribed format. The medical billing specialists enter patient demographic details such as name, date of birth, address, insurance details, medical history, guarantor etc as provided by the patients at the time of the visit. For established patients, we validate these details and necessary changes, if any, are done to the patient records on the practice management system. Our coding team consists of AAPC certified coders with over 2 years of multi-specialty coding experience. You may send us super bills with diagnostic notes with or without ICD and CPT codes. If codes are already provided on the super bill, they are validated by our coding team compulsorily to prevent any ‘up-coding’ or ‘down-coding’ and therefore, any denials.

All charges posted into system within 24hrs from sheet received. Auditing done for the posted charges same day to avoid errors and increase clean claims. All PLs sent to doctors immediately to resolve it faster. We also handle Scheduling and sheets tracking to make it sure all sheets are received from doctor’s office and posted in system. Claims are submitted electronically via the practice management system. However, we can process paper claims also. At this stage, a thorough quality check is done by a senior billing specialist and then submitted. The rejection report received from the clearing house, if any, is analyzed and the necessary changes are done. Re-submission is done immediately.

We support electronic payment posting. Payment directly goes to doctor's account electronically. After receiving the remits, we also post it electronically into system. We also work of paper EOBs. Checks and EOBs goes directly to doctor's office. We post all the payments after receiving these from doctor's office. Check reconciliation also done for all checks and all discrepancy send to doctor's office immediately.

All claims in the system are examined and priorities are set. First the claims close to their filing limits, and then work down from the age of the claim. Periodic follow-ups over phone, email and/or online is done to get the status of each claim submitted to the insurance company. Payers, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims. We also call patients, if authorized by the provider, to obtain information from the patient needed for billing. Bill for patients printed directly in the doctor's office and sends it to patient. We also handle this part as per clients requirement.

As Medicare and Medicaid insurances covers major part of revenue, thus we have established dedicated experts of Medicare and Medicaid insurance who can take care of your claims in better way. This also helps our client to get the major part of their revenue faster. Our Medicare and Medicaid denial experts handle your denials in quickly and follow-up it with the insurance company to get the claim paid.