Denial Management

All claims are tracked in our system from submission to payment or denial. To ensure the rate of claims denial remains low, Pro-Med Consultants has an insurance verification process in place. All demographics are entered or imported by an Account Manager, once entered the focus is on making sure all insurance information is correct. This is done by using web-based insurance portals, calling insurance companies and calling patients directly. This system eliminates errors that can cause issues down the line.

If a claim is rejected our team will make the appropriate changes to correct any errors and resubmit the corrected claim. Any denied claims will then be appealed by our staff. Pro-Med will send all appeals directly to the insurance company with all documentation and supporting material that is needed to overturn the decision.