The recovery of unpaid claims and balances remains a major challenge in good practice management.
XPark Solutions is distinguished from other companies in the industry by its persistence in collecting. The timely and accurate resolution to unpaid claims is of paramount importance.
Every unpaid claim is treated in a systematic manner.
The following are the components of our insurance collection approach:
- Research of denials using our access to insurance portals/data portals/CWF/clearinghouse for accurate insurance information
- Contacting the member via phone or letter in order to obtain information
- Valid patient information can be obtained by interacting with the practice staff
- Resubmitting corrected claims in a timely manner
- Complete and accurate completion of C2C appeals (Claim Re-Openings), reconsiderations, redeterminations as well as ALJ hearings if needed.
- Contacting the State Insurance Commission to resolve a dispute
We at XPark Solutions consider the patient collection process to be a vital part of your success.
We understand and acknowledge that your patients are the most important thing to you. XPark Solutions places a high value on customer care. Our collections department understands how to work with your patients in a flexible but stable way, to improve your bottom line.
XPark Solutions works directly with patients to help them pay their debts, before the account is too cold for collection. Our systematic approach adds value to the everyday operations of our collection agency. This includes patient debt calls and payment plans.
The process we use to collect patient balances includes a variety of aspects, including:
- Validating patient balances by our monthly audits, completed every month
- Office Schedule Software can provide daily patient balances to your practice, including high balance alerts and promise to pay notes.
- Using special software and other resources to find out about missing or incorrect insurance information
- Searching for up-to-date addresses using skip trace address services to ensure that statements are received
- After two statements, soft collection calls are made on all accounts
- Manage financial hardship, payment plans and discussions about promise to pay.
- Cold account analysis to determine if we should refer the accounts to our collection agency
- All claims by patients should be investigated (i.e. I already paid my bill.