Credit Balance & Refund Services

Efficient credit balance and refund management is essential for maintaining financial transparency and patient trust. Unresolved credit balances can lead to compliance issues, unnecessary liabilities, and patient dissatisfaction.
At Statmed RCM Solutions, we implement a two-tier review system to ensure that all credit balances and refunds are processed accurately and in a timely manner. Our dedicated credit balance team begins by reviewing credit balance reports and identifying refunds owed to insurance providers or patients. Once identified, our Quality Assurance team thoroughly reviews and verifies each refund before initiating the process with proper documentation and communication with all involved parties.
Beyond insurance refunds, our self-pay review team actively follows up with patients to identify any pending payments or reimbursements. We conduct a complete reconciliation of patient payments before generating statements, ensuring billing accuracy and compliance with weekly or monthly requirements. If patients do not respond, we proactively follow up with calls and, if necessary, recommend collections with detailed reporting.
At Statmed RCM Solutions, our dedicated A/R team works diligently to follow up with insurance providers, resolve claim disputes, and recover maximum reimbursements. We take appropriate actions to reopen denied claims, correct errors, and appeal unjust rejections, ensuring providers receive their rightful payments.
With our executive leadership team and highly skilled A/R specialists, we proactively develop strategies to tackle payer denials efficiently. Our team also focuses on permanently resolving clustered denials, preventing future claim rejections and delays.