Services Portfolio

• Data Entry: Collecting and entering provider and practice information into billing systems
• Claim Filing: Electronic and paper claim submission based on insurance requirements
• Statements: Patient statements mailed as per client-specific protocols
• Payments: Posting payments and auditing EOBs for accuracy
• Reports: Monthly and customized reporting based on client needs

Without proper billing knowledge and reimbursement expertise, healthcare providers risk delayed or denied payments. Our structured approach ensures timely and accurate reimbursements.

Demographic & Charge Entry Services

• Patient demographic identification and verification
• Entry of patient demographics, insurance, employment, and sponsor details
• Updating existing patient information when required
• Charge entry including CPT codes, ICD codes, and modifiers

Claim Submission

Claims are submitted electronically after accurate demographic and charge entry, helping reduce rejections and speed up reimbursements.

Quality Process

EIGHTOMS follows a two-level quality assurance process to minimize denials and underpayments.

• Stage I: 100% audit of demographic and charge entries ensuring maximum accuracy and error reduction
• Stage II: Random quality audits verifying patient data, CPT, ICD, modifiers, providers, and referring physicians before claim submission

Payment Posting Services

• Insurance payment posting
• Self-pay posting
• Denial posting and resubmission
• Quality checks on cash posting transactions

Transaction volume reports are provided on a Daily, Weekly/Fortnightly, or Monthly basis as per client preference.