Denial Management & Insurance follow-up

We have a well organized process for Denial Management and insurance follow-up.

We do have a RA process to reduce AR. In this when any denial is posted it will fall in our RA cycle and our Denial Management team will find the reason and try to fix it at very first level.

Now AR process comes in picture when any claim is not sent but not paid till 30 days. The Denial Management team will reach out to insurance and find out reason why the claim is denied and try to get it paid by providing solution to that denial.