Claim Management Services — DeehealthIQ

Streamline charge capture, scrubbing, submission, rejection fixes, and denial‑driven appeals. DeehealthIQ manages the full claims lifecycle—so more claims pass on first submission and reimbursements land sooner.

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Service Overview

DeehealthIQ’s claim management program reduces errors before submission and accelerates adjudication after. We validate demographics and coding, apply payer‑specific edits, submit via clearinghouses or direct portals, and track each claim to resolution with documented actions and timelines inside your EHR/EMR.

Core Capabilities — From Charge Entry to Adjudication

We manage each step of the claim lifecycle and return clear, auditable notes to your system.

Charge Capture & Entry

  • Reconcile encounters and documentation to prevent missed charges
  • Apply correct modifiers, NCCI edits, POS, and rendering/billing provider details
  • Batch charge entry with dual checks for new providers/specialties

Pre‑Submission Scrubbing & Edits

  • Validate demographics, eligibility flags, and coding accuracy
  • Apply payer‑specific and specialty rules; catch LCD/NCD and medical‑necessity issues
  • Resolve clearinghouse edits and soft rejections before first submission

Electronic & Paper Submissions

  • HIPAA‑compliant 837/835 workflows via clearinghouses or direct payer portals
  • Attachments and documentation (when required) with reference IDs
  • Timely filing tracking with alerts and exception queues

Rejections, Denials & Appeals

  • CARC/RARC mapping and root‑cause categorization
  • Correct & resubmit, or assemble appeal packets with supporting notes
  • Track appeal timelines and escalate per payer policy

Claim Status Monitoring & Follow‑ups

  • Automated status checks augmented by manual payer outreach
  • Underpayment detection vs. fee schedules/contracted rates
  • Run‑outs for secondary/tertiary billing and COB

System Integration & Reporting

  • Work inside your EHR/EMR and clearinghouse dashboards
  • Daily claims log with actions, owners, and next steps
  • Weekly KPI reporting and month‑end variance analysis

Key Benefits

Our claims program increases first‑pass approvals and speeds cash flow with fewer touchpoints.

  • Higher first‑pass yield — Clean claims and payer‑specific edits reduce rework.
  • Faster reimbursements — Shorter claim lag and quicker resolution across payers.
  • Lower denial rate — Root‑cause fixes for coding, eligibility, and documentation gaps.
  • Underpayment recovery — Identify and pursue short‑pays with clear evidence.
  • Full visibility — Dashboards track status, timelines, and dollars at risk.
Deep domain expertise
Technology‑driven edits
Seamless onboarding
Transparent reporting
Process Blueprint

Why Partner with DeehealthIQ for Claims

Certified coders and claims analysts apply disciplined SOPs and payer‑policy expertise. We operate directly inside your EHR/EMR, resolve edits fast, and publish transparent KPIs every week.

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Next‑Step Conversation

Elevate your claims performance

Share your payer mix, EHR/EMR, and baseline metrics—we’ll configure a 30–60 day pilot and show KPI lift before scale‑up.

Phone

+91 8328191964

Email

info@deehealthiq.com

Address

FLAT NO 125, PAPAMPETA, BHGYANAGAR, Ramnagar Ananthapur, AP- 515004.

Get in Touch

Schedule a consultation

Prefer a quick call? We’ll review your edits, denials, and timelines, then map a prioritized fix list.

FAQs

Many practices see uplift within the first 30–60 days as scrubbing and edit rules stabilize.

We align to your build and clearinghouse (e.g., Availity, Change, Waystar, TriZetto, or direct portals) and document actions in your system.

Yes, CARC/RARC‑based categorization, evidence packets, timely appeals, and escalation per payer policy.

We track TFL by payer with alerts and exception queues to prevent preventable write‑offs.

Start your claims turnaround today

Improve first‑pass approvals and accelerate reimbursements with disciplined scrubbing, payer‑specific edits, and denial‑driven appeals. Share your payer mix, monthly claim volume, and current FPY— we’ll configure a pilot in 2–3 weeks.

Schedule a call