Unpaid Claims and EOB Analysis

→ Overview

Denials in medical billing is the area of a provider’s revenue that is most overlooked. This ties into automated posting, which if not properly reviewed, causes your denials to quickly pile up. At ECBC, we review unpaid claims and EOB analysis to correct and reprocess rejected claims to recover the amount due.

→ Aggressive Follow-Up Of Denied Claims

Aggressive insurance follow-up of denied medical claims is our specialty – by working and, if necessary, appealing the denial. We have a specific team that is focused just in this area. We make sure your practice is reimbursed at the proper rate. For example, claims denial management makes up about 20% of your average day of posting. If not scrubbed daily, a provider’s loss of revenue adds up significantly.

→ Experienced Team

Medical billing denials and solutions to denials requires an experienced team. At ECBC, we have extensive experience working with various payers which enables us to quickly identify and respond to the many different denials that can occur. For example, some payers don’t use the standard universal denial remark codes and have their own legend and reference codes. It is only through working with these payers that one will gain the knowledge and understanding required to address and work these specific denials.

Denial analysis in medical billing begins with having an understanding of claim adjustment codes and what they may actually mean. It involves analyzing the entire claim, not just the denial message itself, as the meanings can vary payer to payer.