01
Claim lifecycle support
We organize the work from charge readiness through payer response.
- Charge, demographic, and insurance review
- Claim creation and edits
- Clearinghouse submission
- Rejection management
- Corrected and secondary claims
- Payer status follow-up
- Documentation coordination
- Modifier-related claim review
02
Rejections versus denials
Rejected claims generally have not entered payer adjudication and require correction or missing information. Denials require analysis of the adjudication reason and the appropriate correction, reconsideration, or appeal.
03
PT claim considerations
Timed units, therapy modifiers, multiple-procedure edits, plan-of-care requirements, referrals, and authorizations can all affect a claim before or after submission.
04
Accountability after submission
Submission is the beginning, not the end. Claim status and payer response must connect to a documented next action until the balance is resolved.