At Urgent Care America, our primary goal is to make sure that you're paid FAST. That's why accounts receivable activities are a primary focus. Our facility is designed to give account managers the work environment, systems, and resources to ensure rapid billing and meticulous pursuit of unpaid balances.
Electronic Claims Submission
Our state-of-the-art Electronic Data Interchange (EDI) Group has secure interfaces with over 650 insurance companies. So you can rest assured that your claims will reach payors quickly and securely. Unlike paper claims submission, we know immediately that your claim has been received from an electronic acknowledgment from the payor.
Rules based protocols
We are sensitive to the differences in payment schedules among payors. Our sophisticated system are equipped with rules tables that offer account managers automatic prompts for follow-up. When a claim remains unpaid beyond the allotted time frame, it is managed immediately.
Industry-wide, the most common reason for delayed payment or claim denial is human error. UCA assures billing accuracy through careful attention to quality assurance processes. Through a combination of unique data sheets and daily balancing processes per client, billing errors are virtually eliminated. Unpaid Claims are chased using our own innovative technology. Rules-based follow-up is derived from client requirements and sensitivity to the payors' expected turnaround times. A record of each contact is built to provide an audit trail of payment follow-up. This activity is reported to the client and archived for hearing use if necessary.
There's no one more experienced with regional payors than UCA. We have been called to serve in focus groups for several major insurance carriers, HFMA and MGMA groups.