ISO 27001 : 2015 Certified Company

Patient Demography Entry

Data entry of information should be the least of your concerns. However, if not done correctly, data entry errors will also lead to the loss of your money. At Canada Usa Pharmacy, We have expertise in Demographic and Charge entry service for many Specialties ranging from General Practice to more complicated specialties.
Our medical billing specialists enter the required patient demographic details as provided by the patients at the time of the visit. For established patients, we validate these details and necessary changes, if any, are made to the patient records on the practice management system.


Charge Creation, Claim Audit & Submission

The medical claims are generated by our Senior Billing Associates based on billing rules pertaining to specific carriers. The claim then undergoes multiple quality checks before it reaches the insurance. Our highly experienced quality


Payment Posting

Canada Usa Pharmacy‘ payment posting solutions save valuable time, improve data accuracy, and accelerate the flow of money into the proper accounts. We provide you with services for filing and posting of hardcopy Explanation of Benefits (EOB’s) and Electronic Remittance Advice (ERA’s). We also undertake reconciliation of accounts and file secondary claims as applicable.


EOB filing or scanning

Manual or Electronic Payer Interface Posting

Denial posting and processing

Reconciliation

Credit Balance Process

Secondary Claims process


Canada Usa Pharmacy works on the denials (clinical, technical as well as short-payment denials) immediately after posting is completed. Denials are analyzed and appropriate actions taken.


AR Claims Follow up


At Canada Usa Pharmacy, we believe that this is one of the most important areas to ensure optimal revenue recovery. We maintain the highest level of professionalism when interacting with your patients.

Our Services in Account Receivable include:

Denial Management

AR analysis

Insurance follow-up

Self pay follow- up


Our proven cash flow and revenue management services will improve operational cash flow by reducing bad debit and write-offs.

We manage customer revenue risk while at the same time improving customer relationships.


Denial Management

In a typical healthcare system, about 20% of rejected claims is never resubmitted. A maze of policies, billing requirements and regulations, as well as complex managed care contracts contribute to the number of denials that go unattended. At Canada Usa Pharmacy, Our Denial Management system can help you take control of your denials for more efficient claims processing and accelerated reimbursements.