The Paid.MD software application enables isolated billers to unify and share billing nuances to alert other billers in the community of payer rule changes, denials, and payment delay tactics. A single biller that solves a payer rejection and shares it with the community enables the entire community to overcome that payer’s stall tactics. Denied claims cost physicians $262 Billion per year and approximately $118 per claim to appeal.
Paid.MD is a cloud-based software application (both desktop and mobile app) that uses crowdsourcing data to outsmart insurance denials and payment delay tactics. Fully HIPAA compliant, Paid.MD neither collects, stores or shares patient data because only generic EDI data is required. It uses good claims that have gotten paid to arm billers with the knowledge to overcome insurance rejections and denials. As payers change their rules without notice, a single biller sharing the updated information with the community enables everyone to correct course and get paid quicker. Like “Waze” for medical billers, community intelligence outsmarts payer denials.
- Too many things to know – known by too little
- Payers are unified by providers at the helm are spread-out
- Larger providers negotiate a better rate through collective strength(ACO, IPA, group contracts)
- Constant change in regulation causing confusion and error
- Getting the full payment, not knowing until it is fully done what it is going to be.
- Exhaustive reimbursement knowledge
- Taking up procedures that aren’t covered by insurance
- Staying up to date with coding
- Too many things to know – known by too little
- Payers are unified by providers at the helm are spread-out
- Larger providers negotiate a better rate through collective strength(ACO, IPA, group contracts)
- Constant change in regulation causing confusion and error
- What if I could connect all billers on a single platform?
- Across multiple billing systems
- Within specialty, within the region
- For a particular claim
- Review reimbursements, flag underpayment
- Share the trick of appeal
- Alert payer nuances / constant changes
- Combat Artificial Intelligence with Human Intelligence
- Connect the little knowers to the largely ignorant
- Get every claim pass through rigorous human intelligence
- Internal Provider driven Pre-Adjudication System
- Claims are sent through multiple layers of
- Historical Knowledge
- Live Community Intelligence
- Get every claim pass through rigorous human intelligence
- To ensure every claim gets paid