Services

Crystal Billing Services starts with your documentation and moves forward, collecting patient benefit information, pre-authorizations if required, and moves your patient’s claims through processing. Covering:

• Benefit Quotes – reflecting in and out of network deductibles, out of pocket maximums, copays and coinsurance and clarity on what authorizations are needed (and getting them) and requests for in-network exceptions.
• Pre-authorizations, pre-notifications, pre-certifications and pre-determinations – managing the paperwork needed until resolution is determined.
• Exceptions – helping your patients access higher levels of benefits whenever possible
• Medical claims processing – following each claim through to ensure it is processed correctly or reviewing and reprocessing until it is.
• Claims appeal – when appropriate, we ensure every avenue has been followed to process your claims.

We work not only for our clients to receive payment, but also as a representative for them on behalf of their patients to help obtain maximum allowable reimbursement. Contact us for additional information.