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| Step 1 |
| All new patient registrations, credentialing, superbills/encounterforms to be forwarded to PRN Medical Billing. PRN Medical Billing may also request notes to submit denials to help it's denial management. EOB's should also be forwarded to PRN Medical Billing in this step for proper payment posting/charge entry. |
| Step 2 |
| PRN Medical Billing gathers all new patient data, and enters information into it's prorietary claims database. PRN Medical Billing then prepares a 6 point check system to scrub all claims for errors, miscoding, prior to claims submittal. PRN Medical Billing will then prepare electronic or paper claims for submittal. PRN Medical Billing may request notes and other documents from the doctors if requested by the insurance companies. All denials are addressed at this step and UCR (Usual and Customary) explanations are challenged if necessary. |
| Step 3 |
| Insurance carriers will remitt payments with EOB's attatched. They may also submit denials as well. Denial Management tactics will also be taken at this point by PRN Medical Billing professionals. Requests for Letters of Medical Necessity, Narratives, and other documentations will need to be prepared to PRN Medical Billing if requested. |
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