Top Seven Key Habits of Greatly Effective Adjusters

Habit 1: Efficacious Communication The adjusters of Insurance claims ought to consist of excellent people skills. An insurance adjuster will address all manner of individuals in every frame of mind – from happy and grateful to angry and suspicious. As insurance companies’ representatives, claims adjusters are mostly the mere point of […]

Key Seven Tips for the Medical Coding Beginners

You will surely find these tips of medical coding beneficial because they come from seasoned medical coders and will try to keep you sane when you are knee-deep in coding. The Top 7 Medical Coding Tips for Beginners are as follow: Determine the benefits of patient In case to neglect the unpleasant “Gotcha!” […]

Difference between Case Managers & Counselers

In healthcare sector, case managers and counselors are key parts of health-care and social services delivery. However, case managers might give advice and suggestions to customers, their key role is to facilitate in assessment, care planning, facilitation, care coordination and advocacy for people and families needing special services. Counselors are […]

Top Five Best Suggestions on the Denial Management

When we consider the processing of active healthcare claims, it is important to develop a system that enhances the effectiveness to manage the denied claims. Most of the agencies of Healthcare get too worried when it comes to working claims, specifically when the claims are rejected. It is necessary to […]

Are urgent care centers a good career move?

The careers of healthcare are continually evolving, and one of the recent trends to develop is landing creative nurses and the professionals of healthcare in UCCs (Urgent Care Centers). Urgent Care Centers (UCCs) market has made themselves as remarkable alternatives to busy emergency rooms (ERs) for patients searching for quick […]

United Health Care Claims Reconsideration Process

1. Login on UHC portal 2. Search Claim Status (for the concern patient) 3. Go to the bottom of the page and in ACTION Tab click “VIEW OR ACT ON YOUR CLAIM” button. 4.. Go to ASSESSMENT Tab and click “CREATE CLAIM RECONSIDERATION” Button. 5.. It will take you to […]

BCBS TX Urgent Care Guidelines

Prior to sending the contract, please confirm that the Urgent Care Center (UCC) meets the guidelines listed below. Extended hours – UCC must be opened weekday evenings until at least 7:00pm. Weekend hours are preferred but not required. Defibrillator – If not physically adjacent to an Emergency Room, UCC must […]