Complex Reimbursement Claims Specialists
ALL THE PAYMENTS YOU ARE ENTITLED TO,
FOR EVERY CLAIM
The claims process is getting more and more complex. You need an expert on your side to level the playing field with payors. At Collect Rx, whether you are in-network or out-of-network, we work even the most complex claims through to resolution, ensuring that you get the highest reimbursement for even the most challenging cases.
Serving All Your Needs
Complex In-Network and Out-of-Network
We have helped over 2,100 surgery centers, physician practices, laboratories, community and physician-owned hospitals, behavioral health facilities, dialysis centers and health systems throughout the country.
Scaled for Success
Billions of Dollars in Processed Bills Handled Annually
We are the only company in the country focused solely on helping providers maximize reimbursements while leveraging a unique expertise and understanding of out-of-network bills.
Experience that Matters
The Team that Built the Other Side of the Business
Our professionals have worked for health insurers and their out-of-network pricing partners and possess a depth of knowledge with an intimate understanding of the tactics payors use to decrease your revenue.
Technology that Drives Results
Millions of Interactions Captured and Indexed Annually
Our algorithms automatically identify similar claim patterns, leverage prior agreements and use our knowledge of the insurance companies own strategies against them in driving higher payments.
Complex Reimbursement Specialists
With Collect Rx, you can increase payor collections, automate processes, ensure that each claim is paid at the highest rate, and still reduce your AR days. Collect Rx is singularly focused on getting all your claims paid correctly, completely and on time for both in- and out-of-network reimbursements.
Through reconciliation processes, workflow optimization, data and analytics, and unique payor-side knowledge, Collect Rx is your prescription for increasing cash flow and managing A/R as you focus your attention on patient care.
The Collect Rx Revenue Cycle
- Out of NetworkWith extensive knowledge of out-of-network payer strategies, Collect Rx has developed a unique approach that works alongside your billing team to optimize out-of-network payments, “reasonable and customary” rates and re-pricing out-of-network bills.
- Revenue Cycle ManagementCollect Rx’s innovative technology, processes, workflow, data-driven approach, and unique payor-side knowledge put you in the driver’s seat, ensuring that for every claim, you receive the highest reimbursement rates, every time.
- Payor Collections & AR Follow UpWith Collect Rx, you can increase payor collections, automate processes, ensure that each claim is paid at the highest rate, and still reduce your AR days.
- Consulting Let Collect Rx’s payor reimbursement experts help you design your Out-of-Network Strategies, Revenue Cycle Management Best Practices, and Complex Claims Collections to maximize payor reimbursements, reduce days outstanding and optimize your staff’s time, energy and focus.
- Revenue Cycle Data Analytics Collect Rx’s reporting suite leverages our deep data heritage to report key performance indicators that have the most impact on your collections, and drive recommendations on maximizing your reimbursements.
The Keys to Maximizing
Knowledge of Payor-Side Incentives
Insurance company secrets
Understand the financial and customer incentives of health insurers and their vendors
Insight only we can see
Millions of claim interactions from more than 2,100 customers nationwide
We catch it, we capture it
A unique combination of automation and optimized processes drive recovery rates
We're laser sharp
Devoted 100% to helping providers maximize reimbursements
Specialized Out-of-Network Expertise
We wrote the rules
The largest national database of out-of-network reimbursement patterns by all major payors
The devil is in the details
Undivided attention paid to auditing and reconciliation
Healthcare Recovery Attorneys
We cover all the bases
Large staff of experienced healthcare attorney resources available at no extra charge
Nothing gets past us
In-depth defense keeps your data from prying eyes
DRGs driving you down
Ensure procedural billing rates remain as billed
CRXIS is Collect Rx’s proprietary database and software solution that provides us with the engine to maximize out-of-network reimbursements. It delivers information regarding insurance policies, provides claim-level comparable data, and tracks the trends and tendencies of the insurance companies and their vendors.
A sophisticated tool that streamlines A/R follow-up, delivering transparency, accountability, and most importantly, results!
Automatically scan payor websites, 835 data, transaction data, and every account in your A/R by the use of bots.
Identify, assign, and prioritize at-risk accounts so no claim is overlooked.
Reconcile every account, from assignment to zero balance, to make sure nothing slips through the cracks.
What Our Customers Say
Leveraging our RCM expertise and insights gained during discussions with thousands of customers, we've developed resources to answer your questions and identify the right solution.
View Our Webinars with
We’ve partnered with Becker’s Healthcare to bring you the most up to date industry insights into out-of-network reimbursement, payor collections and revenue cycle management.
Read the Case
Collect Rx has helped providers in Ambulatory Surgery Centers, Physician Practices, Hospitals and Behavioral Health facilities maximize their reimbursements and optimize their RCM functions.
Average increase of initial payment for qualified claims
Focused on getting the highest reimbursement for every claim