Government and private payers vary in payment for the same services and healthcare providers and organizations provide services to beneficiaries of several insurance companies at any one time. The result is a system which makes it almost impossible to know whether a correct claim is being submitted or whether complete payments are received.
Payments received are cross referenced to payment entitlements.
Any discrepancies are investigated, corrected, and promptly resubmitted. Any account receivables that are in excess of 45 days triggers the legal firm's involvement for collection. The benefit is a significantly reduced loss from uncollectable account receivables.