RISARC Consulting, LLC

RISARC is the premier supplier of high technology revenue recovery and reimbursement systems to the nation’s leading healthcare providers.

RMSe-bubble: Claims Query Service Module

Automated claims query services to obtain eligibility, authorization ABN, payments, denials and other claim level status detail.

  • Reducing manual follow-up for eligibility, authorization and claim status
  • Decreasing days in AR
  • Ensuring that all denials can get worked timely and accurately
  • Minimize write off from denials due to untimeliness
  • Minimize write off from denials being un-pursuable due to missing documents
  • Increase potential for increased revenue
  • Automate eligibility verification
  • Creation of efficient work buckets for follow up
  • Pursuing underpayments