Our Accounts Receivable follow-up process monitors and proactively pursues collection of payments. All claims that have not been closed out in the system are categorized by age and insurance for effective management of the follow-up process. Calls are initiated for claims that are 31 days old or more. We attempt to identify the source of the problem through proactive calling so that the turn-around time on collections can be reduced. Diligent follow-up for paper submissions ensures that “claims not on file” are resubmitted within filing limits. Weekly A/R Reports are analyzed and reviewed to prioritize work for the week. All interactions with payors are documented in detail, making repeat follow-ups streamlined and more effective. Our experienced team is adept at gathering information through appropriate probing questions. Findings are communicated with clients through a detailed report on a daily basis. The report also includes suggestions for actions to be taken from the client’s end e.g. resubmitting with medical notes, or with modifier/coding changes, and so on. At Sun Knowledge, every cash amount receives the same degree of attention as the other, irrespective of its size or source. Combine that with our high accuracy standards and you can rest assured that every penny you are entitled to will be claimed and recovered by us in the shortest possible time! Moreover, our knowledge of pertinent federal laws and acts such as EMTALA (Emergency Medical Treatment and Labor Act), ERISA (Employee Retirement Income Security Act), the Prompt Pay Law and others, help in resolving issues and settling accounts much faster than other A/R Managing companies. Highlights ~ Streamlined and improved workflow using effective tracking tools ~ Multiple follow-up calls for the same claim ~ Follow-up on all paper submissions ~ Payor-specific analysis ~ Detailed reporting with suggestions for actions to be taken ~ Improved cash flow ~ Reduction in turn-around time ~ 100% HIPAA compliant~ ~ Collections up-to 97%. ~ We charge only $8 per hour per dedicated FTE (Full Time Employee). ~ Our charges are only $5 per prior authorization. Lowest in the industry. ~ Excellent references. ~ Free Telemedicine Platform. ~ We also provide check posting services. We also buy accounts receivable that have been difficult to recover and will pay you up to 85% of the total claim value. We even purchase accounts receivable older than 180 days that nobody else would touch! Click here to sell your unpaid invoices for instant cash.

1. ACCOUNTS RECEIVABLE
MANAGEMENT SERVICES
FOR NURSING HOMES
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com

2. Private & Confidential 2Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
SUNKNOWLEDGE OVERVIEW
Key Facts
 Serving US healthcare industry since 2007
 Robust & scalable infrastructure
 State-of-the-art technology and systems
 Highly skilled and trained staff with good
communication skills and in-depth knowledge of process
 Structured training, feedback and coaching
 HIPAA-HITECH compliant
 State-of-the-art office inbuilt with all redundancies –
power, infrastructure and others
Office at
41 Madison Avenue, 25th Floor,
New York, NY 10010

3. SERVICE PORTFOLIO
PRACTICE
MANAGEMENT
Scheduling
Eligibility &
Authorization
Verification
Prior Authorization
Customer Care
BILLING &
COLLECTIONS
Coding
Charge Posting
Claims Submission
Payment Posting
Denial Management
Accounts Receivable
PAYER SERVICES
Claims
Adjudication
Credentialing
Utilization
Management
Customer Care
TELEMEDICINE
Telemedicine
Remote Patient
Monitoring
Private & Confidential 3Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

4. A UNIQUE EDGE
Sunknowledge is the only Practice Management / Revenue Cycle Management company
with a very own Telemedicine platform to be working for both major Payers like HealthCare
Partners and Heritage Provider Network and Providers like Hospitals, Orthotics-Prosthetics
& DME companies, Nursing Homes, Urgent Care Centers and more, across the US, with
equal success!
We help our clients leverage this dual exposure and get a unique edge in making their
business more successful in a much shorter time.
Serving since 2009!
PAYERS SERVED BY US PROVIDERS SERVED BY US
Serving since 2007!
This is just a small selection from the list of hospitals and other healthcare organizations served by us currently
Private & Confidential 4Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

5. PRICING
Private & Confidential 5Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
Our low costs for AR follow-up and recovery services
start from just 1% of the total collection realized!
Actual cost of services can only be determined only after a full understanding
of the client’s specific requirements.
We have a very attractive pricing model that you’d like.
If you have already received a price offer from another vendor, tell us about it.
We promise to meet or beat it!

6. OUR HIPAA COMPLIANCE SUMMARY
SL. COMPLIANCE ASPECT HIGHLIGHTS
1 Physical Access Authorized access only | Bio-metric access | Proximity card system | Photo ID cards | Access log review
2 General Security 24 hour security personnel | Logging of visitor details | Physical register retained for 10 years
3 Monitoring CCTV monitoring (with recording) of production area | Daily review of recording
4 Vendor Access
Signing confidentiality agreement before accessing sensitive areas | Accompanied by security personnel/employee during
all times
5 Mobile Phones All employees (except managers) are required to deposit mobile phones in the locker box before entering facility
6 Personal Baggage No backpacks or other bags allowed | All baggage to be deposited in locker box before entering facility
7
Network &
Application Usage
Unique user IDs created using Microsoft Active Directory | Access to storage devices, shared drives, USB/mass
storage devices, printers – controlled by Domain Group Policy | No wireless access points
8 Firewall
Unified Threat Management System | Internet traffic regulation using multiple filters | Network Address Translation (NAT) |
Intrusion Prevention Systems (IPS) | Port-mapping for traffic between Virtual LANs | Default setting to deny all traffic
9
VPN (Virtual
Private Network)
Site-to-site IPSec VPN tunnels | Authorized access via client-to-site VPN connections | Access authorization
controlled by Active Directory's authentication service
10
Redundancy
Management
Fully redundant network stack | Two ISP links configured in active-active mode | Power backup supplied by 130 KVA UPS
and 750 KVA generator | 22 KVA UPS backup for server and network systems
11
Virus & Malware
Protection
Central anti-malware system | Automatic updates | Extra protection by gateway firewall |
Centralized OS patch management system (using Microsoft's WSUS server)
12 Other Measures Fire extinguishers at key areas | Half-yearly fire drills
Private & Confidential 6Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

7. ACCOUNTS RECEIVABLE
MANAGEMENT
Private & Confidential 7Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

8. ACCOUNTS RECEIVABLE IN THE REVENUE CYCLE
360°
Revenue Cycle
Management
Services
Eligibility &
Authorization
Verification
Patient
Information
Entry
Coding
Charge Entry
Claim
Submission
Payment
Posting
Accounts
Receivable
Denial
Management
Reporting
Private & Confidential 8Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

9. ACCOUNTS RECEIVABLE MGMT. PROCESS OVERVIEW
Our A/R follow-up service is designed to increase the Revenue Collection for
our clients.
The process begins after the Provider creates and sends Health Insurance
Claims (Electronic/Paper claims or Manual HCFA forms) to various Insurance
Companies.
Depending on the transmission type and length of time since submission,
we begin our follow-ups.
Private & Confidential 9Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

10. FOLLOW-UP
No Remark Claims:
Any claim in which absolutely no status is known for the claim.
Last Remark Claims:
Claims which remain unpaid for various reasons. These claims are
routinely followed up on a monthly basis.
2 types of Claims Follow-ups
1
2
Private & Confidential 10Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

11. STEPS IN ACCOUNTS RECEIVABLE FOLLOW-UP
 A/R Analysis
• 14% of all claims submitted to the payers are denied and have to be resubmitted, appealed
or written off by providers
• 50% of denied claims are never re-filed
• 50-70% of denied claims have higher chance of being recovered
 Follow-up with Payor
• Aggressive follow up with the insurance company's on all accounts at any stage of the
aging bucket plays an important part in A/R follow up activities
 Closure of claim
Reducing days in A/R, claims submission and improving collection ratio
with an increase in the probability of payment through timely follow-up is
the responsibility of the A/R team
Private & Confidential 11Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

12. STEPS IN ACCOUNTS RECEIVABLE FOLLOW-UP
Online Claims Follow-Up
Using various insurance company websites and Internet payer portals, we
check on the status of outstanding claims.
Automated Claims Follow-Up (IVR)
By calling insurance companies directly, an Interactive Voice Response (IVR)
system will provide the status of unpaid claims.
Insurance Company Representative
If necessary, calling a ‘live’ insurance company representative will give us a
more detailed reason for claim denials when such information is not available
by the first 2 methods.
1
2
3
Private & Confidential 12Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

13. DENIAL
MANAGEMENT
Private & Confidential 13Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
13

14. REASONS FOR DENIAL
 Authorization Issues
 Referral Issues
 Medical Necessity and Medical
Records requests
 Non-Participation with Insurance
Network
 Terminated Insurance
 Coordination of benefits
 Wrong Diagnosis
 Inclusive Procedures
 Partial Payments
 Out-of-network claim status and
deductibles
 EDI Rejections
 No status and No claim on File
 PIP cases
Private & Confidential 14Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

15. STEPS IN DENIAL MANAGEMENT
Claim Correction and Resubmission
These are the claims which are corrected, modified, and resubmitted as a corrected
claim to Insurance companies.
For such claims, every effort is made to resolve the denial to avoid billing the patient.
Patients' Responsibility
These are claims which cannot be further worked upon and the final bill is sent to the
patient for payment collection.
The reasons for sending the patient a bill generally include In-Network deductibles and
non-covered benefits as per the insurance plan. Patients receive a statement with a
clear explanation for the balance due.
1
2
2 Categories of Denial Management
Private & Confidential 15Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

16. DISTRIBUTION OF DENIED CLAIMS
24%
11%
3%
35%
17%
10%
Distribution of Denied Claims
Auth Related
Coding Correction Required
OON Issue
Others
Patient info missing
Timely Filing
Claims denied as Others are due to the following reasons:
 Claim denied as duplicate
 Claim previously paid
 Patient not eligible on DOS
 Payer didn’t receive EOB from primary payer
 Provider needs to verify if item billed is rental or purchase
 Bill Primary
 Patient not covered due to pre-existing condition
 Plan doesn’t cover medical services such as DME
 Not covered by member’s plan
 Claim exceed maximum number times it can be billed
Private & Confidential 16Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

17. BENEFIT HIGHLIGHTS
Reduction in
accounts receivable
by 30%
within 1 month
Accounts Receivable
recovery cost starts from
2.5%
of collections
Expert handling of accounts
receivable by highly
experienced staff
Same attention to every
cash amount regardless of
its size or source
Demonstrated expertise in
working on difficult-to-
recover aging A/R
Over 7 years’ experience
in claim adjudication for
major US insurance plans
Private & Confidential 17Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

18. SAMPLE
REPORTS
Private & Confidential 18Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

19. SAMPLE OF AGENT-WISE A/R REPORT
User ID
Touched
Accounts
Note
Count
Days Worked
Hours
Worked
Notes Per
Hour
Max Note Time
Average
Note Time
XX12_GT 37 37 1 8.22 4.5 0:20:06 0:02:00
XX13_GT 50 51 1 8.83 5.77 0:35:44 0:05:45
XX14_GT 37 37 1 8.9 4.16 0:15:26 0:02:19
XX15_GT 41 41 1 8.65 4.74 0:38:47 0:09:48
XX16_GT 34 48 1 9.32 5.15 0:23:57 0:03:45
XX17_GT 83 83 1 9.63 8.62 0:42:35 0:02:37
XX18_GT 50 50 1 9.3 5.38 0:35:14 0:05:18
XX19_GT 45 46 1 9.65 4.77 0:24:11 0:05:05
XX20_GT 53 53 1 8.87 5.98 0:33:47 0:04:01
XX21_GT 14 14 1 9.93 1.41 0:37:20 0:08:23
Total Touched 444 460 Total time 91.30 5.04
Average Touched 44 46 Average time 9.13
Private & Confidential 19Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

20. SAMPLE OF A/R AGING REPORT
Sunknowledge WEEKLY AR AGEING REPORT FOR Client X Inc. - 07/06/2015 through 07/12/2015
PAYER
>120 Days 91 – 120 Days 61 – 90 Days 31 – 60 Days
Claims Completed Remaining Claims Completed Remaining Claims Completed Remaining Claims Completed Remaining
AARP HEALTH CARE
OPTIONS
26 23 3 17 16 1 44 41 3 37 32 5
AMERICAN TRANSIT
INSURANCE COMPANY
12 11 1 6 5 1 15 15 0 10 10 0
BCBS 28 24 4 16 13 3 41 37 4 32 30 2
MAGNACARE 13 12 1 9 9 0 23 22 1 11 10 1
HIP_PALLADIAN
HEALTH
6 6 0 12 9 3 12 10 2 15 15 0
MANAGED PHYSICAL
NETWORK
12 10 2 8 7 1 10 10 0 10 8 2
MAGNACARE 7 7 0 11 9 2 5 5 0 8 3 5
OXFORD 12 9 3 17 12 5 23 22 1 22 16 6
STATE FARM
INSURANCE
7 6 1 4 4 0 5 5 0 4 4 0
TOUCHSTONE HEALTH 5 5 0 8 6 2 6 4 2 16 12 4
UNITED HEALTHCARE 31 28 3 23 20 3 49 43 6 41 39 2
Private & Confidential 20Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

21. Sunknowledge will make outbound calls to reach out to the Payers to gather
information about the status of claims as per the list provided by Customer. Key
tasks involved in carrying out this work are detailed below.
 Planning to start calling Payers as per the list of claims based on the
downloaded AR Reports
 Research details of the claims in the AR list in the Clients system
 Making outbound calls to the respective Payers for claims aged
31 days and more
 Document finding of the calls
 Preparation of claims reports with status information gathered
during the call
Modifications, removal or adding tasks to this are agreed upon between client
and Sunknowledge.
…
SAMPLE SOW OF A/R FOLLOW-UP
Private & Confidential 21Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

22. SUMMARY OF BENEFITS
 Very Little Risk
• Proven track record in providing healthcare BPO/KPO services
• Experienced in providing services to both payers and providers
• Experienced working with various software platforms
• Quick and efficient resource for special projects requiring technical and process expertise
 Significant Upside Potential
• Great understanding of the Healthcare Industry. Operation scale-up with a short notice
• Extremely competitive rates, greater productivity, improved quality, increased member and provider
satisfaction
 Proven Process Performance
• Low denial rate  reduced collection time  increase in revenue collection
• Billing & Coding Accuracy > 99.9%; TAT: 24 – 48 hours
• Adherence to CMS billing requirements
 Clear Communication and Quick Response Time at All Times
 ISO 27001:2013 & HIPAA Compliance for End-user Data Privacy and Protection
Private & Confidential 22Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

23. TESTIMONIALS
Private & Confidential 23Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

24. CLIENTSPEAK
“We have had the pleasure of working with the Sunknowledge team
throughout the few months utilizing their services for patient data entry and
eligibility verification. They are a devoted and responsible team that is highly
experience in what they do. They are always concerned about the client’s
needs and are always there to help. I highly recommend the services offered
by Sunknowledge.”
COO of a leading medical billing and credentialing company in New York
“Your team amazed me with the manual and the amount of info you provided
with that short training session.”
Practice Manager of a major Dermatology group in New York and New Jersey
Private & Confidential 24Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

25. CLIENTSPEAK
“My firm has evaluated an outsourcing transaction with Sunknowledge. They provide
superior service at a very attractive rate and have demonstrated to us their
commitment to this partnership. Their expertise across various process areas in the
PDP/MAPD domain and unique cost structure puts them in an incredible position to
work with plans throughout the healthcare industry.”
Chairman, President and CEO of a major New York based Health Plan
“Our company is very pleased with the administrative, and business analytical
solutions which Sunknowledge delivers to our company from a quality & cost
perspective. They have been a true partner in bringing industry expertise, and
innovative solutions to the table. Their ability to grow with our evolving needs for
higher end services such as clinical services is a significant differentiator among
healthcare business process outsourcing firms.”
Executive Vice President of Operations of a leading MSO
Private & Confidential 25Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA

26. CLIENTSPEAK
“I was always against the idea of outsourcing our back end claims processing
work but I was wrong. Sunknowledge provided extraordinary deliverables on
a timely basis which led to cost cutting considerably for us.”
CEO of a leading MA-PD Plan
Private & Confidential 26Phone: (646) 930-4608 | E-mail: michael.smith@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
For Additional Information, Please Contact…
Michael Smith
Phone: (646) 930-4608
Email: michael.smith@sunknowledge.com
Sunknowledge Services Inc.
41 Madison Ave., Suite 2503, 25th Floor
New York, NY 11001, USA
READ ALL TESTIMONIALS