Denial Management

Hospitals, physicians, home health agencies, Skilled Nursing facilities and other provider groups focus increasingly on payment denials by insurance companies.

Denials have started to threaten the viability of provider organizations. It is a toughest part to most of the healthcare providers to get paid for the rejected claims.

Transcare follows a unique method to handle it. Every denial will undergo a process of detailed analysis by the subject matter experts to identify the root cause. They make sure to resubmit the claim within TFL.

Key reasons for denials are incorrect patient info, Invalid medical codes , Lack of Documentation ,Payer specifications on covered services ,Pre authorization.