A major healthcare organization in the US, we’ll refer to them as Company X. Their billing department receives claim information and is tasked with billing and ensuring claims get paid quickly.
Company X came to Methodiq with the following problem: A large portion of their claims were being denied by payers. For example, when Company X submitted a claim, payers often asked for additional information such as documents, attachments, and medical history, ultimately denying the claim until the documents were gathered. This is one of many tactics used by payers to delay payment.
We worked closely with Company X to identify their blockers, because our ability to assist our clients is in direct proportion to truly understanding the challenges they face.