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Topic: Healthcare Claims Processing Procedure

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Healthcare Claims Processing Procedure

Healthcare claims processing is a complex and time-consuming task for healthcare providers. It involves multiple steps, from verifying patient eligibility to submitting claims to payers, and requires a significant amount of work and attention to detail. Errors in claims processing can result in delays in reimbursement, denied claims, and loss of revenue for healthcare providers. 

Not only this saves time but also reduces the risk of errors that can occur when eligibility verification is done manually. Automating eligibility verification can also help healthcare providers improve revenue cycle management services

By implementing electronic claims processing, automating eligibility verification, providing staff training on the claims process, implementing claims denial management, and working with a medical billing and coding companies like 3Gen Consulting, healthcare providers can reduce administrative burden, increase efficiency, and improve revenue cycle management. 

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Fill cashless request form at the hospital. Submit the form and medical records to TPA. TPA will inspect all the documents. Once approved, the insurance company will settle the hospital bills, which excludes phone charges, attendant charges, food etc.

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