Demographics and Charge Entry
Patient’s Demographic entry is the foundation of a Health Insurance claim.
Incorrect Demographic information is one of the top 5 reasons for claims being denied. The reason could be the Insurance ID number, Date of Birth, SSN or other demographic information. Even extra characters like dashes, asterisks, etc. can make Payers’ computer systems reject your claim.
Quite a bit of information on a Health Claim is related to the Patient. This information is first captured in a Patient registration form and then from there it is entered in the Practice management / Billing software before finally being transmitted to the Payer.
Correct and quality entry of this information directly impacts the quick settlement of the claims. A good, error free patient demographic entry is your first step in the process of submitting a clean claim.
Vision’s well trained, high caliber medical billing professionals can get the claims sent to payers faster with more accuracy and at much lower costs.
If you are using an EHR system, your front office can register a patient with minimal information and scan the patient registration form and Insurance card in to the system. Our billers pick up the information from the scanned cards and ensure all demographic and Insurance information is updated correctly in the system.
Once information is received from healthcare center/physician’s office in the form of Patient Demographic File, Client File and the Charge Ticket/ Sheet, our dedicated account manager’s team captures the entire information and charges by utilizing our billing software. According to client requirements, we do multispecialty charge entry; pore over all claims before sending them to payors for less denials and underpayments, file secondary insurance and follow‐up on unpaid or denied claims. We respond to both payors and patient inquiries.