The Outsource Group - Insurance Resolution

Follow-up with insurance companies is a time-consuming and labor-intensive aspect of healthcare receivables management. It is an area where The Outsource Group excels. Our process allows our clients to typically be paid within 30-45 days. TOG identifies solutions to the obstacles delaying and preventing payments to healthcare providers. We analyze and report the root cause for underpaid or late-paid claims so the hospital can take action to improve front-end processes. The Outsource Group also recognizes the need to resolve all balances. Our expertise affords us the ability to properly analyze and process all assigned accounts.

One of the reasons we are so successful is that no one talks to more insurance payers than our knowledgeable representatives. Each representative will make over 70 telephone contacts with insurance companies each day.

But it’s not just getting them on the phone—it’s convincing them to take action. We have a very effective call structure with highly trained professionals and can make a difference in your outstanding receivables immediately. Our HIPAA-compliant representatives are dedicated by payer type and client with specialties in the following categories:

Commercial Insurance and Managed Care
Many healthcare providers have limited resources to manage the large volume of unpaid insurance claims, and obtaining reimbursement can be a painstakingly long process. Using a systematic approach for each claim, we identify problem accounts, obtain any information needed for processing, and streamline the entire insurance reimbursement process so our clients will have access to this revenue more quickly and efficiently.

Medicare and Medicaid
The Outsource Group works government payers through online access to the intermediaries, telephone, and mail. We also work with you to identify edits necessary to produce a cleaner claim. Setting us up for your claim volume overflow ensures unexpected increases in outstanding claims do not cause cash flow interruption.

Our Reporting
As with all of our services, our collection system provides over 200 standard reports, which can all be modified extensively to provide any custom report required by the client to view daily operations, performance, etc. Since the system is online, reports can be generated immediately and customized as needed.





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Our People, Processes & Technology Our Performance Guarantee Early Out/Self-Pay Receivables Bad Debt Collection Insurance Resolution Third Party Liability Physician & Dental Practice Services Purchase Receivables & Patient Financing Services Medicaid Eligibility Services Download The Outsource Group Brochure	Follow-up with insurance companies is a time-consuming and labor-intensive aspect of healthcare receivables management. It is an area where The Outsource Group excels. Our process allows our clients to typically be paid within 30-45 days. TOG identifies solutions to the obstacles delaying and preventing payments to healthcare providers. We analyze and report the root cause for underpaid or late-paid claims so the hospital can take action to improve front-end processes. The Outsource Group also recognizes the need to resolve all balances. Our expertise affords us the ability to properly analyze and process all assigned accounts. One of the reasons we are so successful is that no one talks to more insurance payers than our knowledgeable representatives. Each representative will make over 70 telephone contacts with insurance companies each day. But it’s not just getting them on the phone—it’s convincing them to take action. We have a very effective call structure with highly trained professionals and can make a difference in your outstanding receivables immediately. Our HIPAA-compliant representatives are dedicated by payer type and client with specialties in the following categories: Commercial Insurance and Managed Care Many healthcare providers have limited resources to manage the large volume of unpaid insurance claims, and obtaining reimbursement can be a painstakingly long process. Using a systematic approach for each claim, we identify problem accounts, obtain any information needed for processing, and streamline the entire insurance reimbursement process so our clients will have access to this revenue more quickly and efficiently. Medicare and Medicaid The Outsource Group works government payers through online access to the intermediaries, telephone, and mail. We also work with you to identify edits necessary to produce a cleaner claim. Setting us up for your claim volume overflow ensures unexpected increases in outstanding claims do not cause cash flow interruption. Our Reporting As with all of our services, our collection system provides over 200 standard reports, which can all be modified extensively to provide any custom report required by the client to view daily operations, performance, etc. Since the system is online, reports can be generated immediately and customized as needed.