Pre-Authorization & TPA Coordination: Submit medical documents and treatment estimates to TPAs to secure swift cashless approvals.
Billing & Estimation: Prepare accurate cost estimates for Outpatient (OPD) and Inpatient (IPD) procedures, including final bill reconciliation and implant updates.
Claim Processing: Manage end-to-end medical insurance claims, ensuring discharge summaries and final bills are submitted to insurers in a timely manner.
Patient Counseling: Communicate transparently with patients and families regarding coverage limits, co-payments, and out-of-pocket expenses.
Documentation & Reporting: Maintain patient records on TPA portals, courier hard-copy files to insurers, and assist with financial audits.