Patient Financial Services
Claim Generation & Submission
Claims submitted to GMM through web-based encrypted scanning system are input
and submitted to insurances upon receipt of all information. GMM provides AAPC Certified coders and registered health information Technologists for coding and coding oversight.
Medical claims processing is done at GMM electronically through a HIPPA
compliant clearinghouse on all payers who accept electronic claims.
Follow Up
GMM has developed a reputation for aggressively following up on claims that are not paid in a timely manner by insurance companies.
Payment Posting
GMM will post payments and insurance responses from EOB's. EOB's can be sent to your office and scanned to GMM or sent to GMM. Checks will be electronically deposited into your account.
Claims Adjustment
Network adjustments are taken as insurance payments are posted. GMM will audit any
adjustments requested on EOBs to ensure only participating network adjustments are
taken.
Denial Management / Appeals
Appeals for claim denials are managed by GMM in a timely manner.
Balance Billing
When notified by a patient that secondary and tertiary insurances are in effect, GMM will bill those entities prior to balance billing to the patient. Monthly statements will be presented.
Collection Proceeding as Needed
GMM is a licensed collections agency.
Claim Resolution
GMM will continue to work with a claim until it is closed.