Workers’ Compensation Claims
Tasked with the complexities and time-consuming requirements of workers’ compensation claims, Kemberton’s deep-rooted proficiency alleviates added burdens as an ideal extension of the revenue cycle. We have highly experienced teams of specialists and innovative technology to navigate state rules and dispute resolution processes (including USDOL) that vastly improves workers’ compensation reimbursement in a more prompt and efficient manner.
Over 40% of 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: