Assurance that clients have been charged only for medical services actually provided and pay only those bills required. Each claim is filed accurately and promptly. Cutting through insurance company red tape and bureaucratic snafu provides for faster turn-around time. Each claim is carefully examined to make sure all services were provided and reimbursed in accordance with the policy benefits. Only when we are certain that the claim was paid properly, our clients are told when to pay a bill and how much to pay, thus avoiding unnecessary and duplicate payments to providers.
Service includes the appeal of claim decisions, if necessary.
Each claim is tracked through the member's doctor, hospital and insurance company to confirm prompt processing. Payments received from insurers are tracked and secondary claims to other insurers, such as supplementary policies or spouse's company insurance are filed. CSA does not hesitate to follow-up on claim rejections or what they consider to be inadequate reimbursement and validating justifications for their denial. Appeals of claim decisions are submitted as necessary, at no additional charge, in order to maximize the client's reimbursement and minimize out of pocket costs. The March 1995, AARP Bulletin, clearly documented the complexities with the Medicare program and the lack of appeals on the part of patients.