Dynamic Rules Engine

Did you know that with many medical billing and collections firms, your claims are actually sent to insurance companies through a third-party known as an electronic claims clearinghouse?

At Harmony, we submit electronic claims directly on behalf of our clients. This offers tremendous advantages over a third-party clearinghouse because:

We can scrub claims for errors before they are submitted. We can create a so-called “dynamic rules engine” that is customized for your practice and location. For example, if the rules engine “knows” that an insurer in your area only accepts claims with a specific type of ID number, it won’t allow a claim to go out with the wrong number. This helps make certain claims are done right, the first time.

We can provide nearly instant notification that a claim was received. A claim with an error can be immediately corrected and resubmitted. Conventional paper claims with errors become trapped in a six- to nine-week rejection cycle, delaying payment to your practice for month.

We can keep up with changes because of the high volume of claims we process. Keeping up with the changes of private and government insurance carriers, Medicare, Medicaid, Workmen's Comp, and HMOs is an impossible burden on your practice and your staff.