about what we do kemberton advantage insights client login Contact Workers’ Compensation Claims Workers’ Compensation Claims Collecting workers’ compensation claims is a complex and time-consuming process that requires specialized expertise because processes and reporting requirements vary for each state. Kemberton is an experienced workers’ compensation outsourcing partner that has the knowledge and best practices in place to ensure every statute, contingency and reporting requirement is met on time and correctly, avoiding delays and securing reimbursement. Nearly 40% of your patients do not know their workers' comp coverage information. Challenges Kemberton Solves Understanding the unique state-by-state complexities of resolving workers’ compensation claims and reporting requirements Ensuring the employer has filed the "First Report of Work Injury" to their Workers' Compensation carrier Submitting the workers' compensation claim to the wrong payer or third-party administrator (TPA), delaying reimbursement and risking a violation of state filing requirements Continuous follow-up needed to ensure claims are being processed and that there are no issues causing a delay Verifying reimbursements for accuracy once received and appealing underpayments Our Workers’ Compensation Claims Process .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 1 – Identify WC Claims Take direct electronic feeds of 837 files from providers and clearinghouse partners for claim submission, accelerating our ability to submit claims and turnaround cash. .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 2 – Confirm Employer & Carrier Identify or confirm patient’s employer and workers’ compensation carrier as well as filing of accident claim. .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 3 – Submit WC Claim Electronically bill and submit required documentation to workers’ compensation carrier. .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 4 – Follow Up Follow-up with the workers’ compensation carrier on a regular basis, confirming all necessary documentation was received, until the provider receives payment. .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 5 – Reconcile Reconcile payments received against expected reimbursement based on state specific rate table and appeal underpayments. .cls-1{fill:#ff4f45;}.cls-2{fill:#003549;}.cls-3{fill:#fff;}Recurso 27 Step 6 – Report Report to your specifications and provide notes scripting into your system as well as access to Kemberton’s system. Our Results Here are typical results realized by clients who outsource their workers’ compensation claims to Kemberton: 0 % INCREASE IN WORKERS' COMPENSATION ACCOUNTS IDENTIFIED 0 % INCREASE IN WORKERS' COMPENSATION SUCCESS RATES 0 % INCREASE IN CASH PAYMENTS RECEIVED FOR WORKERS' COMPENSATION Call us at 877.540.0749 or submit the form below Full Name* Company Name* Phone Email Message SUBMIT about what we do kemberton advantage Privacy Policy Terms & Conditions Headquarters 2 International Drive Suite 200 Portsmouth, NH 03801 877.272.6001 info@kemberton.net Tennessee 501 Corporate Centre Suite 600 Franklin, TN 37067 877.540.0749 info@kemberton.net New Jersey 1040 Kings Highway Suite 701 Cherry Hill, NJ 08034 888.539.0395 info@kemberton.net © 2021 Kemberton. This Site provides the collective Company's opinion(s) in regards to the subject matter contained herein. Neither the Company, Publisher nor the Author intends, with this information, to render legal, accounting, or professional advice. With regards to any legal or accounting matters, the Company and Author recommend that the visitor seeks the advice of and appropriately qualified and licensed professional.