Acceleration Suite

Business Consulting meeting working and brainstorming new business project finance investment concept.

Complex Claim Referrals

Expedite recovery and increase reimbursement on complex claims with Cloudmed’s award-winning Revenue Intelligence™ solution for complex claims, powered by the CloudmedAI™ Platform.

Speak with an Expert
Business Consulting meeting working and brainstorming new business project finance investment concept.

Amplify complex claims collections

Speed up revenue recovery, achieve a lower cost-to-collect, and boost ROI with Cloudmed’s specialized experts and powerful CloudmedAI Platform. Cloudmed Complex Claim Referrals lets you realize on average a 10-15% lift in cash over other solutions.

overview path

Complex Claim Referrals Overview

Accelerate revenue with Cloudmed’s claims collection service supported by our expert team of staff attorneys, clinicians, and revenue cycle professionals. Cloudmed Complex Claim Referrals maximizes reimbursement for complex claims including Motor Vehicle Accident (MVA) / Third-Party Liability (TPL), Workers’ Compensation (WC), and Veteran Affairs (VA) from time of admission through resolution.

Cloudmed Complex Claim Referrals is a middle and back-end revenue cycle acceleration solution for revenue cycle leaders that optimizes complex claim recovery efforts.

Resolve more claims

Leverage our highly skilled professionals for expedient and accurate recovery of your most complex cases while your team focuses on easier-to-collect claims.

Maximize reimbursement

Secure the maximum reimbursement with our unique knowledge of state and federal rules, regulations, and requirements.

Get full lifecycle support

Rest assured, every claim receives thorough monitoring and follow-up from admission through resolution, capturing any missed opportunities.

The Cloudmed Difference

Complex Claim Referrals Results

10-15%

Increase in cash

20%

Decrease in AR days

*Representative customer results

Boost efficiency and keep improving

Partner with Cloudmed as a specialized extension of your team and share our knowledge to help you work more effectively. Here’s a look at how we work together:

Startup

You provide your Motor Vehicle Accident (MVA) / Third-Party Liability (TPL), Workers’ Compensation (WC), and/or Veteran Affairs (VA) claims either pre-bill or day 1 after bill. Automated files are sent daily to our teams of clinicians, staff attorneys, and revenue cycle experts.

Review

Our staff attorneys or seasoned accounts receivable representatives review accounts to determine if the claim has previously been submitted to insurance. The team conducts extensive and ongoing follow-up to determine the status of claim processing.

Recovery

As appropriate, our legal experts can act as a liaison with attorney offices, file liens, or negotiate settlements on your behalf. Once a settlement or agreement of payment has been met, the team monitors the account to ensure payment posts correctly into your system and files to release lien if required.

Continuous Improvement

Robust reporting and root cause analysis equip you to better manage your workflow, team, and ongoing education efforts. Our staff attorneys and clinicians work as a dedicated extension of your team to keep you current on industry knowledge, technology, processes, and best practices.

Ranked #1 by KLAS

We’re proud to be recognized for outstanding performance and excellence in customer satisfaction. In the Revenue Integrity / Underpayment Services segment, our clients rated us:

A+

Loyalty

A+

Operations

A

Services

A

Relationship

A+

Value
*Cloudmed is the 2021 Best in KLAS® in the Revenue Integrity/Underpayment Services and Robotic Process Automation (Databound) segments.
2021-Best-in-KLAS-Revenue-Integrity-Underpayments
2021-best-in-klas-robotic-process-automation

Acceleration Suite

Fast-track cash with proprietary technology backed by unmatched experience in aged, complex, and clinically challenged claims and denials.

Denials Recovery

Overturn and prevent denials for faster recovery and increased revenue.

Learn more

Complex Claim Referrals

Expedite recovery and increase reimbursement on complex claims.

Learn more

AR Recovery

Accelerate revenue, reduce AR days, and maximizes reimbursement.

Learn more
overview path

Learn More

Find out how Cloudmed Complex Claims Referrals Revenue Intelligence solution expedites recovery and increases reimbursement on complex claims.