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Infinitercm is a US-based corporation that provides medical billing and transcription services to the medical community across the United States and Canada.

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ShapeImprove Patient Care with Rigorous Claim Processing and Reduce Denials

Efficient, Fast & Reliable
Medical Claim Processing
Service

Improve the quality of patient satisfaction with our expert claim processing solutions. We are here to assist you from claims to cash.

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ShapeInfinitercm

Accurate and Efficient Claim processing solutions with InfiniteRCM

Tired of claim denials and delays? Say goodbye to claim denials and administrative burdens. We are here to solve your claim processing errors. Our medical claim processing solutions ensure efficient claim submission to reduce error. We provide reliable and trustworthy services for claims processing. With our expert solutions, you can focus on patient care because we handle legal formalities and paperwork.

Why is Medical Claim Processing Important?

Are you aware of the struggles to keep up with compliance requirements? And you are still using manual claim processing? InfiniteRCM helps you to switch to automated claim processing. Medical Claim processing services ensure to solve these struggles. This processing is crucial and equally important for both healthcare providers and patients. It provides accurate reimbursement, compliance, and timely payments. Claim processing ensures the security of patient's data and protects sensitive information. Our team takes responsibility for this processing and takes the administrative burden so your foremost concern is primary patient care. This process impacts the overall quality of the healthcare ecosystem.

Effective Techniques We Use for Extracting Data from Medical Claims

We utilize advanced AI techniques to extract data from medical insurance claims. We enhance accuracy and streamline your processes.

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Robotic Process Automation (RPA)

We use RPA for repetitive tasks like data entry and validation. RPA speeds up claim processing and significantly improves operational efficiency.

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Optical Character Recognition (OCR)

InfiniteRCM’s OCR technology converts scanned documents into machine-readable text. It simplifies data extraction for efficient analysis.

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Natural Language Processing (NLP)

NLP helps our systems to understand medical terminology and free-form text. We extract vital information from sources like medical notes and reports with precision.

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Machine Learning (ML)

Our ML algorithms identify and extract essential details from diverse data. With template-based solutions like Report Miner, we ensure high accuracy in claim processing.

By incorporating these advanced techniques, InfiniteRCM delivers top-notch data extraction services, ensuring seamless and accurate claim processing for your healthcare organization.

9 Efficient Steps of Claim Processing We Use to Provide You Some Relief!

Medical claim processing involves handling a multitude of tasks, from managing insurance claims and reimbursements to analyzing collections, reviewing bad debts, and handling write-offs. The workload can become overwhelming, and the pressure intensifies! There is a 9-step efficient process that reduces your burden and hassle.

Patient Registration and Insurance Verification

Firstly, we collect patient’s information and verify insurance coverage to ensure eligibility for services.

Medical Coding

We assign standardized codes (ICD, CPT, HCPCS) to diagnoses, treatments, and procedures based on medical documentation.

Claim Creation

Compile the patient’s treatment information, assigned codes, and relevant data into a claim form.

Claim Submission

Submit the completed claim to the insurance company through electronic data interchange (EDI) systems.

Adjudication

The insurance company reviews the claim, verifying coverage, and evaluating the provided services against the patient's policy and medical necessity.

Payment Posting

Once the claim is approved, the payer issues payment. We post the payment details to the patient’s account and update the billing records.

Denial Management

In case of claim denial, we identify the reasons, correct errors, and resubmit the claim or appeal the decision to ensure proper reimbursement.

Patient Billing

After insurance payments are processed, any remaining balance is billed to the patient. We manage patient inquiries and payments efficiently.

Follow-Up and Collections

We conduct follow-ups on unpaid claims and manage collections, ensuring timely and complete reimbursement.

Benefits You Get from Medical Claim Processing Services We Offer

At InfiniteRCM, we prioritize efficiency and accuracy in medical claim processing. We ensure swift billing and meticulous handling of patient information. Here's how we can support your practice and benefit you with our services:

  • Timely Claim Processing: We initiate the claim process and patient co-pay billing promptly. Our team aims for completion within 30 days. Any delays are identified with red-flag alerts to prioritize resolution.
  • Data Validation: Our team accurately validates medical claim data, ensuring thorough verification before advancing with the claim process.
  • Payment Calculation and Reporting : From initial billing to insurance coding and claim notification, we prioritize payment processing. Our team ensures that the bills are sent out within 24 hours of receiving information.
  • Claims Follow-Up : We provide diligent follow-up on medical claims until they are accepted and paid, leveraging our proven track record to ensure timely resolution.
  • Network Claim Forms : Our expertise extends to various claim forms, and we ensure compliance through continuous training and procedural updates.
  • Administration Support : We possess in-depth knowledge of coding procedures, enabling us to rectify any misinformation promptly and facilitate smooth payment processing with insurance providers.

Advantages of Outsourcing InfiniteRCM for Medical Claim Processing Services

Patient care is crucial but effective billing and payment management matters too. Most patients owe at least $500 to $1000 or more to healthcare providers. So why lose money when outsourcing medical claims processing saves time and money? Many practices and hospitals already benefit from it. By outsourcing your medical claim processing to InfiniteRCM you can take several benefits. Our experience team significantly enhances your practice's efficiency, accuracy, and financial health. We can provide you following advantages:

  • Expertise and Accuracy
  • Time Efficiency
  • Cost Savings
  • Enhanced Cash Flow
  • Compliance Assurance
  • Scalability
  • Advanced Technology
  • Reduced Workload
  • Reduced Workload
  • Comprehensive Reporting
  • Dedicated Support

Our Approach towards Revolutionizing Medical Claims Processing

We handle your medical claims by:

  • Precision Checks
  • Transparent Communication
  • Accuracy Assurance
  • Seamless Submission
  • Real-time Updates
  • Proactive Resolution

Why Choose Us?

Choosing InfiniteRCM for claim processing prioritizes accuracy, efficiency, and cost-effectiveness. With our expertise and advanced technology, we ensure prompt claim submissions, thorough data validation, and diligent follow-up. It leads to improved cash flow and reduced administrative burden for your practice. We have a reputation for providing quality and accuracy. By choosing us you will get:

  • Quality Assurance
  • Experienced Professionals
  • Data Security
  • Rapid Turnaround
  • Cost Efficiency
  • HIPAA Compliance
  • Efficient Scalability
ShapeFrequently Asked Questions

Get Every Single Answer There If You Want

An EOB is a document sent by the insurance company to explain how a medical claim was processed, including details about covered services, payments made, and any remaining patient responsibility.

We adhere to strict HIPAA compliance standards and employ advanced security measures to safeguard patient information throughout the claims processing cycle.

Pre-adjudication involves reviewing and assessing claims for accuracy and completeness before submission to the insurance company, ensuring minimal errors and smoother processing.

Electronic eligibility verification allows for instant verification of patient insurance coverage, reducing claim denials due to eligibility issues and streamlining the billing process.

Yes, we provide real-time updates on claim status and electronic access to eligibility details, allowing you to stay informed throughout the claims processing cycle.

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NO Setup Fees ⏐ NO Long-Term Contacts ⏐ NO Strings Attached

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