MediClaims Inc. is a leader in providing modern healthcare solutions for the healthcare industry. At MediClaims, we endeavor to make start up easy for you and take the burden of reimbursement off from you and your staff.

2. MediClaims Inc. is a leader in providing modern healthcare solutions for the
healthcare industry.
We endeavor to make start up easy for you and take the burden of reimbursement off
from you and your staff.
We consider your success as ours and so, we focus on helping you achieve your
financial goals.
Every claim is important to us like every dollar is important to you.
We possess a top team of billing specialists, certified coders, and account managers
who possess extensive expertise in billing and coding services across several
specialties.
We follow a continuous process of encouragement and motivation to help our
workforce to be able to reinvent, respond and revolutionize the approach to our
business.

3. We have a senior management team of highly experienced leaders who are an asset
for our clients.
We are well versed with the latest technologies, but we believe that human skills are
above all else.
The solution to more efficient practices, better collection rates and greater
profitability lies in how well you empower your staff to use technology to its full
potential.
We promise to play a major role in training your staff and provide superlative support
round the clock.
MediClaims is committed to complying with these national standards to protect
individuals’ medical records and other personal health information.

4. Services
MediClaims provides comprehensive, fully integrated medical billing solutions
tailored to suit your needs regardless of the size of your practice.
MediClaims is accurate, reliable, affordable and first – time right, to ensure
higher revenue, lower operational costs, valuable consultation time and reduced
error rates.

5. Services provided by MediClaims
Medical Billing
Credentialing
Data Migration from one software to another
EDI Enrollment
Contract Negotiation
Patient Eligibility Verification
Obtaining Pre-Authorization from insurance
Demographics Entry

6. Medical Billing
Medical billing services have two integral parts:
 Insurance verification
 Authorization
In this, eligibility of patients to receive benefits is checked.
Strict verification is required before offering medical services to the patients; else
patients will not receive the payment of claims.
Such types of mismanagement can lead to huge loss for the office.
The insuring agency should be called for verification of eligibility or else online
verification can be done. Medical billing and coding experts work together to handle
patient insurance claims.

8. Our medical billing verification process involves verification of:
Payable benefits
Deductibles
Patient details
Plan type
Mailing address of the claim
Coverage details
Pre-authorization number
 Referrals
Life time maximum
Patient policy status
Co-pays and many more
Medical billing company

9. Benefits of Hiring MediClaims Inc:
 Simplify your work flow
Reduce claim rejections
Speed up billing cycles
Minimize delays considerably
Provide quick insurance verification and authorization
Enhance revenue cycle
Reduce rework of claims
Increase efficiency of office and economies of scale
Free up your workforce to focus on more productive tasks
 Reduce risk factors
Improve payment and collections
Lower bad debt write-offs
Help improve staff productivity
Reduce your operational costs
 Save your time
Simplify your billing process
Reduce your effort and time
Help increase patient satisfaction
Reduce overheads

10. Credentialing
MediClaims Inc. is dedicated in providing outstanding credentialing services to all
health care providers.
With MediClaims credentialing services you will be able to:
Eliminate redundant paperwork and errors.
Fully concentrate on patients than unnecessary credential duties.
Gain access to preferred insurance networks quickly and efficiently with our specialized
credentialing services.
Divert valuable staff to other areas of concern than get involved in credential work
We provide commitment, confidentiality, consistency and accuracy in all aspects of
medical credentialing. We give special attention to detail.
Professionals of medical field can rely on MediClaims Inc. to provide you with the
peace of mind that all verification and payment verification processes go smoothly.
MediClaims Inc. is a leader in medical credentialing. MediClaims Inc. caters to the
demands of physicians by understanding the criticality of proper credentialing.

11. Data Migration
MediClaims Inc. offers data migration services from one software to another, in case of
installation of new software or updating of existing software.
We perform this by a set of customized scripts or programs that can automatically
transfer the data.
We follow the following steps to ensure perfect data migration:
Do proper planning.
Allocate the best people from our organization.
Employ an independent consultant.
Have qualified migration staff.

12. EDI Enrollment:
Through EDI enrollment, Mediclaims helps improve your efficiency. We help you to
streamline information flow, reduce workload from administrative tasks and raise
productivity and profit.

13. Contract Negotiation:
Negotiating contracts with insurance companies is a difficult task for the physicians and
every time, instead of the physicians, the insurance companies extract maximum benefit
from the physicians.
At MediClaims contract negotiation service, we focus on 5 key elements:
Compensation - Whether you are fairly compensated? Under the terms of the agreement, whether
you will be able to earn incentive compensation?
Call and Schedule - What are your call and coverage obligations?
Benefits - What benefits you are offered by the employer? We ask for additional benefits.
Restrictive Covenants - Will you be able to practice in your area even after your employment ends?
Termination and terms - What are the provisions of termination? What is the exact term of your
employment agreement?

14. The benefits of MediClaim Contract Negotiation service:
Help you receive top money for your services
Reduce hidden obligations and liabilities in your existing contract
Speed up your insurance reimbursements beyond belief.
Help you have an edge over your competitors
Reduction in limitations on your hiring decisions
Help you prevent from giving away discounts you don’t intend to give.
Help you achieve continuous revenue improvements.
At MediClaim, we try our level best to formulate ways to improve your income. We
follow a perfect feedback system about your current contract and how to avoid
unnecessary risks.

15. Patient Eligibility Verification:
To complete the crucial patient eligibility verification processes with accuracy,
MediClaim Inc. is equipped with advanced technology and skilled workforce.
We provide all the assistance required to complete your verification tasks and
appointment scheduling.
We cover the following processes:
Verify patient’s insurance coverage
Receive patient schedules
Update the billing system with eligibility details
Contact patients, if required

16. We would complete the entire insurance eligibility verification process for all scheduled
appointments right before the patient appointment date.
This would assist you in allocating more time to your major healthcare activities:
Patient satisfaction is increased
Class flow is enhanced
Revenue cycle is enhanced
Claim rejection is reduced
Overhead is reduced
Efficiency is increased
Workflow is simplified
Approval and authorization is achieved very fast
Billing cycles are made faster

17. Obtaining Pre-Authorization from insurance:
Many healthcare insurers have pre-authorization policies. To address this, MediClaims
Inc. follows a pre-authorization procedure.
Our procedure is as follows:
We first of all contact the insurance company for authorization number. We make sure
that the information received from them matches our records
If the physician’s office has not obtained authorization we politely inform them that they
must get it before their patient can have their procedure
We always follow-up with the insurance company. If possible, we request a fax of the
approved authorization for the records
If a procedure changes or something is added at the last minute, we contact the insurance
company as soon as possible to add the changes to the authorization
We understand that each insurance company has their own guidelines and what is not
required for one may be required for another.

18. Demographics Entry
MediClaims Inc. patient demographics entry sheet (face sheet of a claim or charge)
contains:
Name of the patient
Address
Date of birth
Doctor’s information
Phone number
Gender
Social security number (SSN)
Information for emergency contact
Guarantors
Health insurance information
Marital status

19. Demographic Entry Process – Flow Chart

20. 707 York Road,Apt#5123
Townson, Mad21204