Workers’ Compensation Claims
Collecting workers’ compensation claims is a complex and time-consuming process that requires specialized expertise because processes and reporting requirements vary for each state. Kemberton is an experienced workers’ compensation outsourcing partner that has the knowledge and best practices in place to ensure every statute, contingency and reporting requirement is met on time and correctly, avoiding delays and securing reimbursement.
Nearly 40% of your patients do not know their workers' comp coverage information.
Challenges Kemberton Solves
Our Workers’ Compensation Claims Process
Step 1 – Identify WC Claims
Take direct electronic feeds of 837 files from providers and clearinghouse partners for claim submission, accelerating our ability to submit claims and turnaround cash.
Step 2 – Confirm Employer & Carrier
Identify or confirm patient’s employer and workers’ compensation carrier as well as filing of accident claim.
Step 3 – Submit WC Claim
Electronically bill and submit required documentation to workers’ compensation carrier.
Step 4 – Follow Up
Follow-up with the workers’ compensation carrier on a regular basis, confirming all necessary documentation was received, until the provider receives payment.
Step 5 – Reconcile
Reconcile payments received against expected reimbursement based on state specific rate table and
Step 6 – Report
Report to your specifications and provide notes scripting into your system as well as access to Kemberton’s system.
Here are typical results realized by clients who outsource their workers’ compensation claims to Kemberton:
INCREASE IN WORKERS' COMPENSATION ACCOUNTS IDENTIFIED
INCREASE IN WORKERS' COMPENSATION SUCCESS RATES
INCREASE IN CASH PAYMENTS RECEIVED FOR WORKERS' COMPENSATION
Call us at 877.540.0749 or submit the form below
2 International Drive
Portsmouth, NH 03801
501 Corporate Centre
Franklin, TN 37067
1040 Kings Highway
Cherry Hill, NJ 08034