With the changing policies and reduction in the reimbursement rates by the best private medical insurance companies, the process of Medical Billing is getting more complicated. Research shows that more than 20-30% of the submitted paper transactions are returned by Insurance companies because they were billed incorrectly by practitioners. Of these around 50% are never resubmitted and are written off as bad debts. It now becomes more important than ever to ensure that the claims are processed accurately the first time they are sent because any delay created by a rejected claim could prove devastating to a medical provider. This again is a strong incentive for these practices to use Authorization Alert Management System and introduce proper Billing system.

Binary Spectrum has over the years developed complete Authorization Alert Management Systems with online eligibility verification capabilities which set out a long way in improving a practitioner his return on investments given the Patient Information.

Our Referral and Authorization Alert Management System offers the following features:

• Ability to attach paper referrals as scanned images
• Verify the status of authorization and request the same if it has expired. Once the authorization is received the patient shall be notified and book an appointment for consulting.
• Keeps count of referral visits left and associate the referral with a specific office visit.
• Offer customized alerts to warn the reception of authorization requirements which may or may not include information for the biller regarding authorization requirements for billing a specific CPT on a per carrier basis.
• Ability to send eligibility for a batch of patients electronically and obtain results and verifications within minutes, of patient’s benefits prior to the services being rendered, by using the Authorization Manager.