We DON’T stop at the low-hanging fruit….
We often hear when speaking with prospective clients that most other revenue cycle management companies accept whatever payment an insurance carrier will pay and then close the claim. SJ Health Insurance Advocates has a dedicated team of quality assurance representatives that take the claim adjudication process many steps further.
After all claims are adjudicated, SJ has thirteen additional steps taken to ensure all claims adjudicated in line with the maximum reimbursement allowed per your patient’s policy. SJ has built a sophisticated reporting suite designed to scrub each claim looking for anomalies in reimbursement. When such anomalies are found, the QA Team gets an alert to review the specific claim in greater detail. This due diligence lends itself to higher reimbursement for services.