Infinity Eligibility Solutions, Inc.
   Service Descriptions

Structured Eligibility Services

  •       Medicaid and Medicare Programs
  •       Out of State Medicaids
  •       SSI Programs (Social Security Administration)
  •       County Indigent Programs
  •       Worker’s Comp
  •       Medial Insurance, Home Owner, Renter ‘s Policy
  •       COBRA
  •       Crime Victim’s
  •       QMB
  •       Chronically Ill and Disable Children
  •       Skip Tracing
  •       Liens (PIP: auto insurance)
  •       Indian Health Program
  •       V.A. (Veteran’s Administration)
  •       Texas Kidney Health Program

Follow-up Services

  •        Initial billing of accounts discharged and ready for final billing
           (electronic/paper)
  •        Identify reasons for claims discharged/not final billed
  •        Account follow-up and collection of outstanding receivables
  •        Pre-bad debt management
  •        Cash posting/balancing to deposits
  •        Credit balance adjudication and reporting
  •        Correspondence processing
  •        Out of State Billing
  •        Payment Monitoring
  •        Secondary billing
  •        Policies and Procedures Development
  •        Third Party Audit
  •        EOB posting
  •        Managed Care payment compliance
  •        State/government reports (as appropriate)
  •        Brief admissions/registration training
  •        Interim Personnel and Interim Management of Staff
  •        Training Facility in the Prompt Payment Enactment 483

Recovers Denials due to:

  •       Pre-certification
  •       Pre-existing conditions
  •       Medical necessity
  •       Past filing deadline
  •       Inaccurate coding
  •       Past appeal deadline


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