TECHNOLOGY
SOLUTIONS
Innovation created just for you.
Accomplish more with technology created to elevate your reimbursements.
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Enhance your billing efforts by monitoring patient deductibles and out of pocket maximums in real time.
Our solution track claims for a set period, monitoring progress as other provider groups bill the patient's insurance.
Once the deductible and out of pocket maximum is met, receive an electronic notification to bill the claim. Our automated solution handles the entire process in real-time.
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Powered by real-time analytics and expert revenue cycle guidance, our coverage detection solutions turn everyday bottlenecks into opportunities, helping teams get reimbursed.
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Our proprietary solution identifies active, previously unbilled coverage across commercial and government payers. That means more revenue recovered from accounts you thought were written off for good, and a better patient experience.
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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Identify active liability claim information for motor vehicle and workers’ compensation accidents from hundreds of liability carriers.
Our automated solution uncovers claim information for 44% of these claims, significantly increasing reimbursement.
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Analyzes historical claim data, payer behavior, and exception patterns to identify claims that require resolution. Using a proprietary logic and rules-based cascading technology, IntelliScrub™ applies customized billing navigation rules to proactively resolve issues before submission.
A discovery tool on steroids, IntelliScrub™ functions as both a verification and discovery solution, resulting in cleaner claims, faster reimbursements, and less burden on billing teams.
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Automating benefit eligibility checks electronically verifies patient insurance, eliminating costly, time-consuming rework in claims management.
Demographic scrubbing corrects patient demographics, ensuring accurate names, addresses, DOBs, and SSNs, thus improving cash flow by preventing misdirected statements.
Our ERISA determinant helps determine if state balance-billing provisions impact your ability to bill the patient.
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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