Demographic and Charge Services

Thuriam is a leading Back-Office Provider of offshore Medical Billing Services to Healthcare Organisations. We have expertise in Demographic and Charge entry service for many Specialties ranging from General Practice to more complicated Hospital Based specialties such as Radiology, Anesthesiology and Chemotherapy.

We provide demographic identification and verification as patients register for healthcare services. Verification of patient demographic information at the time of registration provides significant benefits to the healthcare service providers; better staff productivity, fast reimbursement and enhanced customer satisfaction. With our proprietary registration software customers can quickly and accurately create and verify a valid patient record with the most current demographic information available, thus keeping information up-to-date.

Demographic Entry Service

New demo:

  Individual patient details are cataloged in billing software. The entries done consist of Patient Demographics, Insurance, Employment and sponsor details.

Modify demo:

  This service consists verifying patient information, registered in the billing software with the current information and update if necessary.

Charge Entry service

Charge entry:

  Our charge entry service consists of entering CPT codes, ICD codes, modifiers and other related information into the Billing Software.

Claim submission:

  The claims submission to insurance company proceeds electronically after demographics and charges are entered in to the billing software. Speeding up the reimbursement and reducing the claim rejection.

Quality process

Thuriam has two levels of checks for claim processing. This reduces underpayments and denials of claims substantially and provides prompt and accurate settlement of claims.

  Stage I: Our quality assurance team does complete checkup of each and every entry of demographic and charges fields in Billing software. This process itself reduces 99% of the errors. audit is conducted ascertaining maximum accuracy. We audit each and every field in demographic and charges.

  Stage II: In this stage of quality audit entries are randomly checked for errors. The fields and the entries such as patient name, DOB, insurance ID and others are verified for Demographic accuracy. Charges Entry checkup includes fields such as CPT codes, ICD codes, modifiers, service provider and referring physician. Claims are then submitted electronically to the insurance company.

Reports

The reports regarding transaction volume (Number of Patients and Claims) are provided to clients as part of the service. These reports are generated Daily, Weekly/Fortnight, Monthly based on the customers preference.

U nclear files, charts or patient information is recorded in log and is sent along with the files to the client for clarification and instructions.

Software

Client has to provide the billing software.

Billing Rate model

Monthly flat fee. Terms and conditions for this service will be provided on request. Do contact at medical-bpo@thuriam.comfor further details.