Our Process

A Start-To-Finish Commitment

The process of recovering third-party payment is far different than what’s involved in ordinary healthcare claims management. RevClaims’ end-to-end process includes:

  • Early identification of injury claims based on our proven methodology for determining which accounts are most likely to be reimbursed by liability and workers’ compensation insurers
  • Investigation to determine liability reimbursement potential, including all insurance available
  • Coordinating insurance benefit information from multiple parties
  • Billing all identified liability insurers – and following up until there’s resolution
  • Communication with attorneys representing patients in order to follow claim progress through payment
  • Screening and negotiating all reduction requests within parameters established by the client
  • Monitoring state and federal compliance
  • Verifying that payments are correct and that recovery complies with any fee schedule or reimbursement
  • Overseeing the appeals process if needed
  • Achieving maximum reimbursement based on established standards for coordination of benefits