DME Service Solutions

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Front-End Rejections

Experience efficiency with our advanced Front-End Rejection process. Dive into a cutting-edge system for rigorous review and validation of every claim and transactional data. With us, ensure optimized claim success from the very beginning, streamlining your journey and maximizing returns.

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Leading with Accuracy: Precision at First Sight in Front-End Rejection Processing

Make accuracy the core of your claims processing journey. With us, every claim starts on the right track, ensuring smooth processing and optimal success. Start with perfection and eliminate the need for corrections. Choose foresight, precision, and unmatched efficiency.

Our Front-End Rejection Process Steps

  • STEP 1: INITIAL SUBMISSION

    We review the healthcare customer’s information, and demographics and check their eligibility using an online verification system provided by the insurance company.

  • STEP 2: AUTOMATED REVIEW

    Before submitting claims, our system scans for errors or missing information, including  the healthcare client’s identification details, codes, and treatment information.

  • STEP 3: MANUAL REVIEW

    If the automated system can't resolve identified anomalies or issues, the claim may be flagged for manual review. Our agents will check the claim for errors or additional information.

  • STEP 4: REJECTION OR FEEDBACK

    We flag and return claims that don't meet our standards to healthcare providers, providing feedback for resubmission.

  • STEP 5: CORRECTION AND RESUBMISSION

    We share the verification results with the healthcare provider, who then informs the healthcare customer about coverage details and out-of-pocket costs.

  • STEP 6: PASSING CLAIMS

    Claims that meet the requirements are passed on to the next stage. This next stage may involve further detailed processing or direct submission to insurance payers for payment.

Our Hassle-free Front-End Rejections Services

Identifying errors or inconsistencies early in the claims process reduces downstream work for smoother and faster claim resolution.

Reducing denied claims speeds up payments and improves providers' cash flow.

Detecting and correcting errors early saves costs. Resolving issues upfront is cheaper than later or after claim denial.

Build your outsourced front-end rejection team to streamline business performance and increase your customer satisfaction.

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Why Choose Our Front-End Rejection Management Services

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Cost Savings

Our proactive approach is at the forefront of efficiency. It identifies and rectifies errors early, leading to significant cost savings. Resolving discrepancies upfront is more cost-effective than dealing with them after claims have advanced or faced insurance denials.

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Better Provider Relations

We provide timely and transparent feedback, empowering providers to enhance their methods. This proactive approach not only reduces future discrepancies but also strengthens our bond with provider partners.

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Reduced Administrative Strain

Our capabilities minimize the need for manual handling or revisions of claims, optimizing resource distribution and improving operational fluidity.

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Efficiency

Our expertise, coupled with a sharp eye for detail, enables swift identification of errors or inconsistencies at the start of the claims process. This capability minimizes downstream tasks, resulting in streamlined operations and faster claim settlements.

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Improved Cash Flow

With our industry expertise, we minimize claim denials, speeding up payment cycles for providers. This capability ensures a positive cash flow trajectory for our partners.

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Higher Success Rate

Using our powerful front-end rejection framework, we enhance claim acceptance rates by securing immediate approval from insurance payers.

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DME Service Solutions - The Leading Service Provider in the Healthcare Industry

At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.

+347%

Maintained support for Increase in call volume

-41%

Decrease in average days to collect documents

~15

Days average TAT for hiring

+166%

Increase CGM Orders YOY Q1-22 vs Q1-23

94%

Consistent service level results

-17%

Decrease in avg handling time​

Build your outsourced team to streamline your business performance and increase your customer satisfaction.

Talk to an Expert