Datatek Medical Management Solutions |

We Are What You're Looking For!
DataTek is a multi-faceted medical claims and healthcare billing company. We process and submit medical insurance claims electronically, and by paper when deemed necessary, with Medicare, Blue Cross/Blue Shield, CHAMPUS, HMOs, and all commercial carriers. DataTek guarantees 99% error free claims to all carriers on behalf of our clients.
DataTek provides services which include: consulting; review of capitation and HMO contracts; revenue enhancement analysis; CPT, ICD.9 and HCPC II analysis. Recovery of accounts receivables within 90 - 120 days -- satisfied; practice analysis reports; and submission of insurance claims. The results of our services are improved cash flow, quick turnaround of insurance claims, increased accuracy, and reduced workload on office staff.
DataTek utilizes ETS/Equifax Clearinghouse, located in Atlanta, Georgia, to provide daily electronic editing and processing of insurance claims.
Our experience and expertise in the medical related industry is in a variety of medical settings including, but not limited to, medical billing and accounting; medical terminology; and ICD.9, CPT, and HCPC II coding. Our diverse background gives us the edge when it comes to assisting our clients in maximizing their revenues. We are a unique facility with state-of-the-art equipment that can address all phases of billing and accounts receivable for singular practice, multi-practice, clinics, nursing homes and hospitals.
The Paper Trail
* DAY....1...........................Provider's office (patient
seen)
* DAY...2--4........................Claim mailed
* DAY...5--8........................Received at insurer's
mailroom
* DAY...9--10.......................Sorted
* DAY...11--14......................Microfiched (*)
* DAY...15--16......................Batched
* DAY...17--21......................Keyed into system
* DAY...22--30......................Audited
* DAY...31--35 (**)...............Claim is processed for payment
* DAY....36+.........................Check issued to medical
provider
OR
* DAY...22-30......................Audited
1) rejected--sent back for each individual error
2) procedure starts all over again on re-submission
3) payment received in excess of over sixty days after all errors
are corrected
(*) ELECTRONICALLY processed payments would be on the way to the
doctor's office
(**) provided claims were submitted error free, matching ALL
insurance in-house
criteria(s) for payment
DataTek
|
Developed by Interact, Inc. 1997