Referral process
(Process Overview)
· A Client’s database is transmitted to AFS on a weekly basis.
· This information is sorted and selected for processing based on outsourcing requirements.
· Accounts meeting specific selection criteria are merged with the existing AFS client database.
· Prior referrals are updated with payments, allowances and additional late charges.
· New accounts are queued for editing and transmission to third parties.
· Problem accounts (missing or invalid information) are identified and sent to multiple listings.
· These listings are classified by financial class and distributed to the appropriate billing staff.
· New accounts that pass editing parameters are forwarded to third party payors.
· Accounts receiving payments are reviewed for self-pay cycling or secondary claim processing.
· Accounts receiving additional late charges are then transmitted to third parties, if applicable.
· Problem account listings and follow-up reports are distributed and processed.
Your billing information is at your fingertips through AFS' customized reporting. Review and print reports
at your convinience from your home or office. Our referral analysis
report gives you an accurate financial breakdown of charges, payments and allowances.
Evolving Technology
AFS is an industry leader in medical claims processing having been ranked #1
by Empire Blue Cross and Blue Shield. This achievement was made possible by
ongoing product development in optical storage, document management and electronic
claim processing technologies. As Federal and State regulations move toward
standardizing formats for the electronic processing of medical claims, the industry
becomes even more dependent upon computer hardware and software systems.
At AFS, we are constantly making strides to define cutting edge technologies.
We maintain direct connections to Medicare, Medicaid, Blue Cross, EMDEON, and many other
third party payors. Our technologies include internet access for submission of billing
forms, medical documents, claim status and claim correction.