Shivohm provides claims management support for medical and dental practices, covering claim submission, rejection follow-ups, and denial management. We help your team reduce rework, keep claims moving, and give patients clear updates.
Doctors and practice teams face real challenges in healthcare claims processing, and these challenges affect both efficiency and revenue. Our claims management support services address the problems below.
Overcome claim submission challenges with our team. Tell us your goals, and we will show you how to streamline your claims management.
A claims management support service streamlines healthcare claims processing so claims are accurate and move efficiently. Shivohm handles claim submission, claim rejections and follow-ups, and denial management, with the aim of reducing errors and speeding up reimbursement.
Our approach is also customer-focused. Patients get timely updates and clear resolutions, which helps keep their trust. Because claims contain protected health information, requirements such as HIPAA apply, and we agree the safeguards your practice needs before any data is shared. Our claims support for doctors is built to work alongside the rest of your revenue cycle, including insurance verification before the visit.
Claims management covers the full life of a claim, from the moment a visit is billed to the moment payment is received. Shivohm delivers it as one service, with a dedicated sub-service for the hardest stage, unpaid and denied claims.
Preparing accurate claims and sending them to the right payer
Correcting errors and resubmitting rejected claims
Monitoring every claim until it is paid or resolved
Finding out why a claim was denied, correcting it, and appealing where appropriate
Our claims management support services cover many kinds of healthcare providers and billing organizations. Here is how we support each group.
Streamlined claim submission for inpatient and outpatient services
Efficient medical billing support for routine care
Fast claim submission for dental procedures
Accurate healthcare claims processing for imaging.
Simplified claims for therapy sessions.
Streamlined claim submission for chronic care.
Quick claim denial resolution for procedures.
Accurate claim submission for surgeries and therapy.
Streamlined medical billing services for diagnostics.
Precise claim denial resolution for chemotherapy services.
Fast claim submission for procedures and treatments.
Simplified claims support for doctors in telehealth.
Optimized healthcare claims processing for payers.
Efficient claim submission for dental claims.
Enhanced denial management for third-party billers.
Accurate claim submission for lab testing.
Streamlined healthcare claims processing for pharmacies.
Efficient claim denial resolution for home care.
Simplified claim submission for pet care services.
Claims support for doctors in wellness programs.
We streamline claims processes for accuracy and efficiency, with security and compliance planned from the start. Here are the seven areas we work on.
We identify gaps in claim submission and rejection handling, so we know where time and revenue are being lost.
We simplify the workflow for faster, cleaner claim submission.
We monitor claim status, so you can make better decisions about what needs attention.
We follow up on rejections with payers to correct errors and secure approvals.
We help minimize errors through accurate claim submission and coding checks.
We put safeguards around claim data and agree the compliance requirements that apply to your practice.
We report on patterns in denials, so you can fix the causes and not just the symptoms. Our data analytics and science team can also support deeper reporting when you need it.
Our structured approach keeps claims management support consistent from the first review to ongoing support. The same eight steps apply to every practice.
We review how claims are submitted, rejected, and followed up today, to find where time and revenue are lost.
We connect with your practice management software and clearinghouse, so claim data is accurate and handled securely.
We plan how to improve claim submission, follow-up, and denial management for your payers and specialties.
We design the claim workflows and checkpoints your team and ours will follow, and review them with you before they go live.
We test the workflow on real claim scenarios to confirm accuracy before full rollout.
We put safeguards around claim data and agree the compliance requirements that apply to your practice.
We train your team on the workflow, including rejection follow-ups.
We go live and continue with ongoing support for denial resolution and reporting.
Small clinics gain efficiency from our claims management support services, because we handle claim submission and denial management so the team can focus on patient care. Large practices benefit from scalable processes for high-volume healthcare claims processing, with the security safeguards that larger organizations need.
Claim submission for surgeries and audiology
Denial resolution for sleep studies and CPAP therapy
Billing support for diagnostics and procedures
Claim submission for surgeries and imaging
Claims support for check-ups and routine care
Claim submission for MRI and CT billing
Denial resolution for therapy sessions
Billing support for chemotherapy and lab services
Claim submission for procedures and treatments
Claims support, including telehealth
Claim submission for orthodontics and oral surgery
Denial resolution for health screenings
We have experience working with leading platforms and clearinghouses, so claim submission and follow-up fit into the systems your practice already uses. If you are comparing medical billing services by how easily they connect to your practice management software, the connection is the part to ask about first, because the right approach depends on your platform. For custom connections, our application integration and API development teams can help.
Streamlines dental claim submission.
Enhances denial management for dental practices.
Simplifies dental healthcare claims processing.
Cloud-based solution for claim submission.
Supports accurate claim submission.
Optimizes medical billing services for dentistry.
Improves claim rejections and follow-ups.
Simplifies claim submission for small practices.
Enhances denial management for clinics.
Streamlines claim rejections and follow-ups.
Supports mobile-friendly healthcare claims processing.
Optimizes medical billing services.
Enhances HIPAA compliance and accuracy.
Streamlines complex claim submission workflows.
Improves claims support for doctors.
Facilitates fast claim submission.
Enhances payer connectivity for rejection follow-ups.
Streamlines denial management.
Simplifies healthcare claims processing.
Optimizes claim submission and tracking.
Supports efficient claim denial resolution.
Improves claim rejections and follow-ups.
Enhances denial management processes.
We focus on accurate claims, clear follow-up, and clear communication, so your practice can rely on the process. That approach runs through the whole Shivohm team. Here is what you get.
A team skilled in claim submission and rejection follow-ups.
Careful handling of claim data, with the safeguards your practice requires agreed up front.
Timely updates that keep your team informed and help patients trust the billing process.
Work across medical, dental, and specialty practices, with follow-up designed to help speed up reimbursement.
Regular reports on claim status and denial patterns, so you always know where claims stand and can fix the causes of repeat problems instead of only the symptoms.
We connect with the practice management software and clearinghouses you already use, so you can improve how claims are handled without changing your systems.
Ready to improve your healthcare claims processing? Talk with Shivohm's team about your claims process. In the consultation, we will:
Not quite what you need? See related pages: AR & Denial Management · Insurance Verification · Eligibility & Benefits Verification · Pre-Authorization & TPA Coordination · Payment Posting & Reconciliation · EMR/EHR Management · Contact Us
We provide claim submission, rejection and denial follow-ups, denial management, claim status tracking, and reporting, with data protection agreed up front.
We review the reason for the rejection, correct the error, and resubmit, following up with the payer until the claim is accepted.
A rejection usually means the claim was not accepted because of an error, and it can be corrected and resubmitted. A denial means the payer processed the claim and refused payment, which may need an appeal.
Denial management is a core part of claims management support. We identify why claims are denied, correct errors, pursue appeals where appropriate, and report on denial patterns, so the causes can be fixed and revenue recovered.
Yes. Claims management covers the whole life of a claim, and AR and denial management is its dedicated sub-service for unpaid and denied claims. The two are designed to work together.
Claims contain protected health information, so requirements such as HIPAA apply. Before any data is shared, we discuss the safeguards and agreements your practice needs, and we handle claim data through secure processes.
It depends on your claim volume, your systems, and the payers you work with. We confirm a realistic timeline after discovery.
Yes. The service is built to handle claim submission and rejection follow-ups at higher volumes, and we scale the team as your volume grows.
The easiest ones work inside the software and clearinghouse you already use, so you do not have to change systems. We work with a range of platforms, listed above, and the right approach depends on yours.
The right option depends on your specialty, volume, and systems. Compare providers on experience with your payers, their rejection and denial process, reporting, integration, and data protection, using the checklist above.
Timely updates and clear resolutions on claims help patients understand their bills and keep their trust in your practice.
Cost depends on your claim volume, specialties, payer mix, the systems involved, and how much follow-up and reporting you need. We provide a clear estimate after we understand your practice, instead of a generic price.
