eReceivables is a Specialty Servicer with a unique patented process. For more than a decade the healthcare industry focused on the front end of the claims cycle to develop the perfect billing system and produce error free claims for medical services. During that period eReceivables was working on the back side of the process to standardize a systematic process for dispute resolution. The process eReceivables developed has now been patented.
The advantages of a superior billing system are obvious, however, there is no billing system that can fix the problems on the payers’ side. eReceivables’ patented process has standardized the appeal form and has allowed us to take a mass production approach and bring processing efficiency scale to the tens of thousands of smaller balance claims hospitals cannot economically pursue with a manual approach.
We touch them all - all claims are pursued. eReceivables unique patented approach allows us to pursue all of your unpaid, underpaid, or denied healthcare claims - large dollar amounts as well as the smaller dollar amounts most providers and collection organizations cannot afford to follow up on. The high volume, low dollar balance claims are particularly problematic for traditional manual follow up. If your facility outsources follow up, the vendor you currently use probably isn’t touching claims at some level under $1,000. Our patented process combined with our standardized appeal form allows eReceivables to take a mass production approach to provider appeal, bringing scale and processing efficiency to the problem. Our unique patented process continues to pursue ALL of the claims until they are either resolved or the appeals process is exhausted.
eReceivables' approach uses the payers' appeals process. This problem class of claims requires more than just being corrected, if you do not fix the claim within a specified time frame, you forfeit your right to appeal. Our unique approach pursues your claims through the compliance side of the payers' organizations rather than through the traditional claims department. This is important because the claims department is where the claims were not paid in the first place. The claims department usually does not have the authority to override their internal adjudication system, whereas the appeal and compliance side of the payer organization has the authority to override the previous claims adjudication and PAY the claims.
eReceivables offers Process Improvement Opportunities to our clients. As a Specialty Servicer, eReceivables is not just going to help you improve the collection and predictability of your revenue cycle management, we will help you identify issues and implement corrective actions that will improve your collection abilities with claims the first time they are submitted to the payers. Working with our clients' data in its aggregate form allows us to identify and see issues and trends our clients, working one claim at a time, often overlook. We offer our consulting advice to our clients allowing them to improve the effectiveness and efficiency of their revenue cycle management. Examples of these capabilities are described in the case studies presented.
eReceivables is the leading
Specialty Servicer of Healthcare Claims. Our clients are some of the largest and most respected hospitals and healthcare provider groups. We use technology and our proprietary, patented
eAppeals® process to improve their revenue cycle management processes with respect to their more difficult claims.
eReceivables has found through the focused use of technology applied to the area of healthcare claims, we can improve the absolute rate of collection and its predictability. Our technologies combined with our systematic processes have enabled us to become the experts in the most problematic area of claims – low dollar balance recoveries.
Do you have cash flow Issues?
Talk with eReceivables about financing your claims.
Review the case studies presented demonstrating why you should be using a Specialty Servicer rather than a typical billing and collection organization to maximize the collection of your healthcare claims and the predictability of those collections
... read more
What is a Specialty Servicer? Specialty Servicers in the healthcare billing and collection industry are companies that have specialized processes in place to deal with the collection of troublesome health care claims that have issues often requiring special attention. Specialty Servicers utilize proprietary processes and technology to actively work all of your claims – not just the large dollar ones. Specialty Servicers can also provide claims financing for qualified health care organizations.
