Who We Are

Transparent Claims is a medical billing company and specializes in revenue cycle management for surgery centers and treatment facilities. 

Transparent Claims is comprised of an expert team of master billers and former treatment center owners who are dedicated to the company’s mantra of Leave No Claim Behind. Our specialized industry experience is what helps us to stand out from amongst our competitors.

What sets us apart is our transparency, quality service and daily processing. Yes, DAILY. Most billers do weekly batches. Our processing takes place on a daily basis. We believe in real transparency. What we know, you know. Our system is designed for real-time tracking. We don’t want you in the dark. We believe in an open business relationship. We take great pride in the quality of services that we offer our clients. We understand your struggle and know how important it is to collect on these claims. The success of your facilities depends on it. We get our claims out daily. Daily processing is a key staple in providing top notch service to our clients. The industry standard of weekly claim batches is not ideal. We do things differently. Transparent Claims strives for success. Contact us today for more information or a courtesy consultation.

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    TRANSPARENCY
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    QUALITY SERVICE
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    DAILY PROCESSING
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What We Do

Transparent Claims offers treatment facilities and surgery centers a solution for their claims issues. Unpaid claims are a nightmare for these facilities who are highly dependent upon receipt of these claims payments to remain in operation. So, why Transparent Claims? What is the process?

Our verification specialists will carefully examine and analyze all the claim details including the carrier’s plan, coverage details, eligibility, exceptions, exclusivity clauses and more. Additionally, issues of medical necessity can become a heavy burden for centers. Our comprehensive process in verifying benefits and conducting effective utilization reviews, leave medical providers at ease knowing that we are hitting all the points necessary to ensure the services provided are covered within the patient’s plan.

Medical Billing Services

  1. Verification of Benefits
  2. Utilization Review
  3. Daily Billing
  4. Daily Follow Ups

Accurate billing practices are paramount when submitting claims. You can take a wild guess who is help accountable when submitting this information. Yes, you have that right . . . It’s YOU, the service provider. The insurer will not take any responsibility for anything that is not billed correctly. Many questions come to mind when the billing process begins.  Are the correct codes listed? Are all documents in order? We take the extra steps necessary to ensure billing is handled appropriately and that there are no delays in the submission process. We process claims DAILY.

Medical Billing Services

  1. Verification of Benefits
  2. Utilization Review
  3. Daily Billing
  4. Daily Follow Ups

Proper follow-up can be the difference between getting paid and not getting paid. Many billers are guilty of improper follow-up without centers even knowing about it and still get paid just the same. The centers have no clue. This can result in slow payments, low payments or even denials.  You know as well as we do that the job of the insurer is to make things harder, not easier. That is why that famous saying rings true in the sales industry. The fortune is in the follow-up. Indeed, it is. While many billers are known for lack-luster efforts, Transparent Claims goes above and beyond to collect on claims for our clients.

Medical Billing Services

  1. Verification of Benefits
  2. Utilization Review
  3. Daily Billing
  4. Daily Follow Ups

UNPAID CLAIMS

Tired of waiting on claims that never get paid? Getting denied for claims that should clearly be covered? Invested in billers to collect on your insurance claims and still no luck? That’s where we come in.

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We understand your frustration

We know what you’re thinking. I’ve tried everything. What can you guys do that’s any different than the other options I have used?’

We’re glad you asked.

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