MedClaims International

Hospitals and Health CarePennsylvania, United States2-10 Employees

MedClaims International is a healthcare services company that focuses on denial management for hospitals and related facilities. It assists acute care hospitals, trauma centers, LTACs, surgical groups, behavioral health, and rehabilitation centers by handling escalated appeals and grievances, insurance follow-up, and advocating for patients’ rights to access health benefits. A key service is turning zero balance claims into potential revenue, supported by thorough claim investigation and resolution to uncover the correct reason for nonpayment and secure insurer payment. Based in the Pittsburgh area, the company has grown since its 2001 inception and serves clients across multiple states and Puerto Rico, with a workforce described in general terms as consisting of professionals with expertise in Medicare, Medicaid, Tri-care, commercial insurance, self-funded accounts, workers’ compensation, and auto claims. The firm positions itself as a partner to hospital financial offices looking to reduce write-offs through targeted claim management and rights advocacy, operating within the Hospitals and Health Care industry.

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