TECHNOLOGY
SOLUTIONS
Innovation created just for you.
Accomplish more with technology created to elevate your reimbursements.
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Our turnkey, automated, 3-step process includes:
1. Upfront Analysis: Send your claims file, and by the next morning, receive a data file of accounts that have met the deductible and updated insurance demographics.
2. Real-Time Monitoring: Track claims with unmet deductibles for a set period, monitoring progress as other provider groups bill the patient's insurance.
3. Notification to Bill: Once the deductible is met, receive an electronic notification to bill the claim. Our automated solution handles the entire process in real-time.
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Because one side does not fit all, we believe in providing a variety of options that can be customized to your unique needs.
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Locate undiscovered insurance information for misclassified self-pay accounts.
After demographic clean-up, our solution uncovers a payer on an average of 45% of accounts when scrubbing in the pre-bill process.
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A tailored scrubbing solution that automates multiple custom steps, including insurance verification, demographic scrubbing, and insurance discovery, to ensure accurate and efficient processing. Our bespoke, turn-key system leverages machine learning to outperform traditional manual methods.
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Identify billable insurance for motor vehicle and workers’ compensation accidents from hundreds of carriers. Solutions Group Services uncovers claim information for 41% of these claims, ensuring lower out-of-pocket costs and enhancing patient financial security.
Of the uncovered results, 70% are ready to bill without manual verification, while 30% require manual intervention with provided claim information.
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Basic Verification:
Automating benefit eligibility checks electronically verifies patient insurance, eliminating costly, time-consuming rework in claims management.
Enhanced Verification:
Demographic scrubbing corrects patient demographics, ensuring accurate names, addresses, DOBs, and SSNs, thus improving cash flow by preventing misdirected statements.
Our ERISA determinant reports whether the insurance plan is Federally or State Regulated based on payer responses and through EOB/remittance files when necessary.
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Embrace innovation by harnessing the power of insurance transparency data. ClearCare Analysis™ is a new data tool from Solutions Group Services. This tool takes the public transparency data and breaks it down into a meaningful and digestible format. The data is broken down by HCPC codes and is available by payer by MSA or by payer for the whole state.
ClearCare Analysis™
Unlock the Power of Transparency Data!
OUR HEALTHCARE EXPERIENCE
Emergency Medical Services (EMS)
Anesthesiology
Radiology & Laboratory Services
Urgent Care Centers
Outpatient Hospital Care
Emergency Physicians
See the power of innovation at work.
What our clients are saying…
“Last year, Solutions Group Services helped us avoid unmet deductibles on 65% of our accounts, yielding approximately $248,000 in increased revenue. We saw an average of $738 more per claim on the monitored accounts that later met their deductible.”
Emergency Medical Services provider, Northeast Region
“Solutions Group Services helped us save around 3,000 FTE hours through their self-pay scrubbing efforts. In fact, they uncovered insurance from 72 unique payer sources.”
Emergency Medical Services provider, Southeast Region
“Solutions Group Services helped us find retroactive coverages on our collections accounts. As a result, we recouped over $300,000 in additional revenue that would have otherwise been written off to collections.”
Emergency Medical Services provider, Central Region