Claims Management

Claims management is the systematic process of handling healthcare claims from initial submission to final resolution. It ensures that healthcare providers receive accurate and timely reimbursement for services rendered. This process encompasses several key functions: preparing claims with the necessary documentation and accurate coding of diagnoses and procedures, submitting these claims to insurance companies or other payers, tracking the status of claims to ensure they are processed efficiently, addressing any issues or denials that arise, and posting payments once claims are approved.