Our Services
Don’t let lost revenue hold your practice back. Schedule a demo with Claimium today and start maximizing your reimbursement rates with confidence.
Key Advantages
- Streamlined, efficient, and transparent claim submission and processing software
- Comprehensive understanding of all state and federal IDR regulations and requirements
- Advanced analytic-base software solutions to improve IDR claim processing and management
- Constantly adapting to changing IDR landscapes and developing new solutions to maximize effectiveness
- Trusted and reliable partner for IDR revenue cycle management
Challenge: Maximize Claim Reimbursement for Emergency Services
With so many changes and regulation updates, managing and maximizing claims as an out-of-network emergency provider can be difficult. That is why one emergency physician practice turned to Claimium for help maximizing the value of its out-of-network claims for emergency medical services.
The practice was experiencing issues with under- or non-payment from health plans for claims submitted for emergency medical services. This placed a financial burden on the practice as its top-line revenue was not meeting its full potential. Upon investigation, it was found that a large contributor to the emergency practice’s financial woes was that health plans were not processing their claims for emergency services properly, and the practice was not taking advantage of its state IDR program for out-of-network emergency medicine providers.
Solution: Claimium’s Expert IDR Billing and Collection Services
To address these challenges, the ER physician group turned to Claimium and its expert team to review its claims and determine if IDR was a viable avenue to increase per-claim reimbursement levels. Claimium worked closely with the practice and its billing team to identify claims that met the applicable IDR requirements and submit the claims on the practice’s behalf. Claimium managed the claims from receipt to collection. Claimium’s systems made submissions of potential IDR claims a breeze so that the practice was not required to hire additional staff to manage the process. With Claimium’s help, the practice has increased its emergency claim reimbursement rates to levels never previously thought possible.
Services
Claimium is a niche medical billing provider that focuses solely on state and federal IDR programs for out-of-network emergency providers.
How We Excel
Smart Choice
The team behind Claimium was one of the first IDR providers in Texas and continues to be on the leading edge of IDR programs across the country.
Expertise
With over 30 years of experience in all aspects of revenue cycle management, the Claimium team is able to provide quality services to emergency physicians, surgeons, and EMS companies alike.
Security
All data transmitted into, out of, and within Claimium is protected by HIPAA- level security systems and protocols.
Transparency
Claimium's client portal allows for real-time oversight of where any claim is within the IDR program.
Metrics
Claimium monitors over 20 different parameters of the IDR process of each claim.
Formulas
Claimium uses proprietary formulas and analytics to best position each claim for maximum success.
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