Pre-Submission of Claims

It is our goal to produce reliable cash flow for our clients. Instream has always believed that if you research and understand what each payer wants on their claim to justify payment, assure that your claims consistently produce that information to the payers, and submit that information electronically and timely, you will be paid quickly and accurately. Instream operates on that premise and meets regularly with third party payers to understand what they want on a claim.

Clean claims submitted on a consistent schedule are key elements to maximizing your practice’s financial stability. At Instream, we have developed a demographic and insurance verification program before the claim is submitted for payment. Although this adds time to the front end, the process has resulted in a dramatic decrease in denied claims and improved cash flow for our clients.

Features of our Pre-Submission Services Include:

• We are capable of accommodating electronic patient data downloads from your hospital
• Electronic access links to your hospital
• Insurance verification process
• We are intimately familiar with NC and SC payers’ requirements for claims submission
• Automatic claim edits prior to submission to prevent denials and rejected claims
• Charges entered 3 – 6 days after the date of service to ensure timely filing
• Over 70% of all claims filed electronically

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