PayerLogicSM Out-of-State Medicaid Solutions

A percent or two on a balance sheet can mean the difference between viability and fiscal difficulty. PayerLogicSM Out-of-State Medicaid Solutions offers out-of-state Medicaid billing, follow-up and provider enrollment to help untangle time-consuming accounts and turn them into cash. Our experts have knowledge in all 50 states and the Virgin Islands—enabling us to tackle any account that comes your way.

Out-of-State Medicaid accounts, when consistently pursued, can yield millions to your bottom line.

  • Maximize Revenue.

    On average, our team secures reimbursement on 90% of viable, unpaid out-of-state accounts. That’s more money in for you.

  • Shorten Accounts Receivable Cycle.

    Reduce your receivables cycle by as much as 10% and sometimes more. That means more money faster.

  • Optimize staff efficiencies.

    Our experts in out-of-state Medicaid act as an extension of your staff, freeing up your team to pursue higher average returns from in-state, commercially insured accounts.

  • Minimize Expenses.

    Leveraging Human Arc’s expertise and technologies eliminates your investment in expensive software or other in-house capabilities.

The Human Arc Edge

  • Experience.

    Our team’s state-specific knowledge increases your probability of reimbursement. Just reaching an out-of-state, self-pay patient can take weeks, and provider enrollment paperwork can be time consuming. Our experts understand how to aggressively pursue reimbursement by verifying eligibility, assisting with enrollment and recertification, accurately completing applications, locating provider numbers, and obtaining necessary pre-certifications or retro-certifications.

  • Information Flexibility and Speed.

    Our experts quickly compile all necessary provider enrollment paperwork for your signature and submission; utilize electronic claims submission to most payers; and closely monitor and follow-up on accounts through the entire process, all of which results in faster reimbursements and shorter accounts receivable cycles.

  • Focus on the Real Goal.

    Out-of-state billing and follow-up requires insight into states’ unique Medicaid programs, but we view it as part of our core expertise—eligibility enrollment and reimbursement to you. In everything we do, our eyes are focused on this ultimate goal: cash flow to your bottom line.

  • Security and Compliance.

    You can rest assured your patients’ information is kept confidential and remains fully protected with Human Arc’s experts who are 100% trained on HITECH/HIPAA.

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Experience. Compassion. Results.