Specialized solutions to help you Simplify your A/R.
Third Party Liability
Our proprietary technology and specialized workflows were designed to streamline complex claim resolution. We understand the nuances which exist in identifying and coordinating payment sources for accident claims. First, we help you identify all available payment sources and bill them in accordance with federal and state law. Then we provide the routine and consistent follow-up necessary to recover on these claims.
Our representatives specialize in first or third party claim resolution for a given jurisdiction. Because of this, they understand the specific billing rules and reimbursement expectations for that claim type in that state or county. Our bifurcated approach allows us to manage each claim type with singular focus. This ensures the quickest turnaround on medpay and PIP claims, which are often paid on a first-come, first-served basis. Third party specialists understand the adversarial nature of claims involving a negligent third party. This enables them to successfully navigate resolution of contested or disputed claims with third party adjusters and attorneys.
Workers’ Compensation
Workers’ compensation laws and reimbursement methodologies vary from state to state. Technical billing requirements and burdensome follow-ups add pressure to an already complex process. With our unparalleled experience in workers’ compensation claims, we’ll help you navigate the numerous bureaucratic steps involved from day-one billing to resolution of an underpaid or delayed claim. Our proprietary technology calculates the expected reimbursement based on the relevant contract and fee schedule, and our dedicated workers’ compensation division performs relentless follow-up until the correct amount is paid.
Veterans Administration
Veterans Administration billing and collections present distinct, often avoidable challenges for healthcare providers. Breakdowns in authorizations and referrals, indefinitely aging VA claims, and technical denials are not inevitable, they are signals of process and documentation gaps that can be fixed. Syntriq proactively manages VA-specific denials and documentation requirements to prevent stalled or “research” accounts before they impact cash flow. The result is fewer VA days in AR, faster claim resolution, and VA reimbursement that becomes predictable, auditable, and reportable. Syntriq delivers a complete end-to-end billing and collections solution across all VA payers, with direct electronic pathways aligned to VA workflows. Backed by deep VA expertise, our teams help hospitals immediately improve authorization and referral accuracy, timely filing compliance, medical necessity validation, and eligibility management, turning a historically complex payer into a reliable source of revenue.
Health Insurance Denials
Our Payer Analytics and Integrity Division (PAID) combines experience with advanced analytics. These seasoned revenue cycle specialists and healthcare attorneys help identify, resolve, and prevent denials. We work beyond the remit to uncover patterns of denials and underpayments in your A/R and provide valuable, actionable insights. With this information, you can combat bad payer behavior. It can help you identify opportunities to reduce future denials within your workflows. Our experts can help you overturn your challenging denials, whether they are due to medical necessity and level of care, authorization and eligibility, or coordination of benefits.
Coordination of Benefits (COB) Denials
Syntriq’s AI-infused Denials platform proactively resolves Coordination of Benefits (COB) denials—cases where payers delay or refuse payment due to uncertainty around primary versus secondary coverage. Using intelligent data analysis and expert-guided workflows, Syntriq identifies and corrects the root causes of COB breakdowns, including missing or inaccurate COB data, incorrect or outdated primary/secondary payer designations, previously unidentified insurance coverage unknown to the provider, delays caused by unresponsive or unreachable patients, and conflicting or inconsistent information between providers and payers. The result is faster claim resolution, fewer dead-end denials, and recovered revenue that would otherwise be written off.
We can help.
Learn what makes our process unique and how we can help you simplify your A/R recovery. Schedule a demo today.
