Case Studies
Examples of how the Medical Claims Solutions Division can get you paid by Managed Care:
- A group of out-of-network neurosurgeons operated on a patient and received reimbursement from the insurance company, but at a greatly reduced rate. They tried appealing to the insurance carrier, but were unable to collect any additional money. We submitted an appeal and as a result the provider received an additional $6,923.45. We were able to accomplish this in thirty days.
- An imaging center received $13,201.98 after turning their denied claims over to us. Less than 3 weeks after receiving our appeals, the carrier responded by sending the additional reimbursement to the provider.
- A surgical group received $64,208.80 two weeks after we got involved and pressured the insurance company to process one claim that was delayed unnecessarily in red tape for eight months.
- A diagnostic group was unable to have any of their $1,500,000.00 in claims processed by one payor because of a technical issue. We resolved the problem in eight weeks and were successful in having all of the claims processed for payment.
