Workers’ Compensation Claims

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

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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.

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Step 2 – Confirm Employer & Carrier

Identify or confirm patient’s employer and workers’ compensation carrier as well as filing of accident claim.

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Step 3 – Submit WC Claim

Electronically bill and submit required documentation to workers’ compensation carrier.

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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.

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Step 5 – Reconcile

Reconcile payments received against expected reimbursement based on state specific rate table and
appeal underpayments.

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Step 6 – Report

Report to your specifications and provide notes scripting into your system as well as access to Kemberton’s system.

Our Results

Here are typical results realized by clients who outsource their workers’ compensation claims to Kemberton:

0 %

INCREASE IN WORKERS' COMPENSATION ACCOUNTS IDENTIFIED

0 %

INCREASE IN WORKERS' COMPENSATION SUCCESS RATES

0 %

INCREASE IN CASH PAYMENTS RECEIVED FOR WORKERS' COMPENSATION

Call us at 877.540.0749 or submit the form below

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