Optimized submission of claims for your practice

PCH Health recognizes the importance of clean medical claims for maintaining a steady cash flow. Our seasoned professionals assist throughout the billing cycle, from patient registration to accounts receivable, ensuring accuracy at every step.

Backed by three decades of expertise, we cater to healthcare providers across various specialties, improving revenue and reducing overhead costs through our efficient claim submission process.

Receipts collection

We collect itemized bills from healthcare providers, meticulously gathering all necessary documents and receipts to support your claims.

Claim form completion

Our team fills out claim forms with essential details such as patient illness, provided services, and insurance coverage, ensuring accuracy and completeness.

Claim details review

After entering all claim details, we conduct a thorough review, making necessary corrections and ensuring compliance with insurance requirements before submission.

Claims submission

Once finalized, we submit the claim forms to insurance providers, retaining copies for backup purposes to facilitate a smooth process.

Seamless clean claim submission by PCH Health

PCH Health ensures that healthcare providers receive maximum reimbursements. We submit clean claims from the beginning, and while filing the claim, we ensure patient information is entered correctly, we obtain prior authorization, we use correct medical codes and modifiers, and we perform all quality checks before submitting claims.

Our clean claim submission process keeps accounts receivable time low and minimizes claim denials. Outsourcing claim submission to PCH Health results in faster turnaround rates and better cash flow. Do you wish to learn more about our services?

Benefits of partnering with PCH Health

Highly efficient services with best-quality results

<30

Days in AR

>98%

Clean claim rate

>95%

Net collection rate

<7%

Claim denials

Why choose PCH Health for medical claim submission services?

  • Adherence to prescribed claim submission guidelines for a hassle-free process
  • Cost-effective solutions without compromising on quality
  • Utilization of cutting-edge billing and coding software to stay ahead of industry standards
  • Strict HIPAA compliance to safeguard patient data

Certifications & Awards

Our awards highlight our commitment to excellence, innovation, and delivering impactful solutions that drive positive results for our clients and the patients in their care.

idc

Major Player

IDC MarketSpace U.S.RCM Service Solutions, 2022-2023

nelsonhall-Neat-Leader

NelsonHall

NelsonHall’s Healthcare Payer Operational Transformation NEAT Vendor Evaluation 2023

Medical Coding Operations

Everest Peak Matrix

PEAK Matrix® for Medical Coding Operations 2022

PEAK Matrix® for Intelligent Automation Healthcare 2022

Everest Peak Matrix

PEAK Matrix® for Intelligent Automation Healthcare 2022

HI TRUST CSF Certification

HI TRUST CSF Certification

PCI DSS Certified

PCI DSS Certified

Veracode Verified Attestation

Veracode Verified Attestation

Top specialties managed by PCH Health include but are not limited to:

Ambulatory Surgical Center
Ambulatory Surgical Center
Behavioral Health
Behavioral Health
Cardiology
Cardiology
Oncology
Oncology
Orthopedics
Orthopedics
Primary Care
Primary Care
Urgent Care
Urgent Care

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