TPA Services by Healthgrate
![Medical & Insurance Review](images/insurance-review.png)
Medical & Insurance Review
![Billing](images/billing.png)
Billing
![Resubmission Management](images/resubmission-management.png)
Resubmission Management
![Denial Management](images/denial-management.png)
Denial Management
![Recovery](images/recovery.png)
Recovery
![Reconciliation](images/reconciliation.png)
Reconciliation
Decrease the chances of rejection, deduction and ensure early payment with
Healthgrate TPA.
Medical & Insurance reviews
Medical Billing is the process which is often considered tedious, but is most vital to every provider
![Submission of claim](images/claim-submission.png)
Submission of claim as per protocol & as per standardized codes (DRG)
![Confirmation receipt](images/Confirmation-Receipt.png)
Confirmation receipt of co-payment
![Issues or potential](images/Potential-Errors.png)
Issues or potential errors on agreed tariffs are flagged before submission
![Batches of e-claims](images/billing-cycle.png)
Batches of e-claims are submitted quickly & more frequently so as to reduce the billing cycle
![Accounts receivable](images/Accounts-Receivable.png)
Accounts receivable and denials are managed
![Every legitimate payer denials](images/Legitimate-Payer-Denials.png)
Every legitimate payer denials identified and corrected for future cycles
Experience seamless communication of data, complete automation of hospitals and patient monitoring systems with Healthgrate.
Reconciliation
Reconciliation of accounts – between what was billed by the provider & paid by payers following all submission & resubmission steps. The main objective is of achieving and maintaining the lowest rejection rate.
![Complete analysis](images/Complete-Analysis.jpg)
Complete analysis of non- or partial payment against submitted claims
![Re-process claims](images/Re-Process.jpg)
Re-process claims with necessary changes and justifications and submit to the payer for re-evaluation
![Review](images/Review.jpg)
Review the Tariff /Price list and contract terms with payer if rejection is related to the same
![Complete review](images/Complete-Review.jpg)
Complete review of medical documents and provide medical justification to payers for services claimed
![image description](images/ban8.png)