We build, update, and maintain a detailed database with each payors requirements to avoid downstream disputes.
Based on the payor grid we are able to provide the timeliest notification.
Securing Authorizations is baked into our system delivering a 98%+ success rate.
Result according to MCG/InterQual criteria is sent directly to the physician while the patient is still in ED.
Never miss an admission that meets medical necessity again and know you will be paid for services provided before discharge.
The American Hospital Association reported that payor disputes and denial tactics cost hospitals $25.7 billion in 2023, much of it tied to communication breakdowns.
Programs that emphasize 24/7 communication with payors through portals, phone calls, and direct escalation when needed have a prevention focus.
Hospitals that maintain constant payor dialogue reduce authorization delays, denials and care disruptions.
Payors require notification when patients present to the emergency room and before they are admitted. Failing to notify within required timeframes is one of the leading causes of initial denials.
Many hospitals don’t have the resources to keep a standardized payor information grid which leads to errors and eventually denials
Reactive Solution: Some companies offer retroactive reporting or re-billing services to try and solve denials after the fact.
bServed's Proactive Solution:
Notification and communication are not just about avoiding denials. They set the tone for the hospital stay. Patients benefit from smoother admission processes, physicians receive faster feedback, and case managers can focus on care coordination rather than chasing paperwork.
Revenue protection begins the moment a patient arrives in the emergency department. Immediate payor notification, combined with proactive and ongoing communication, prevents denials, supports clinical workflows, and ensures hospitals are reimbursed for the care they provide.
By securing authorizations and daily stay justifications, we maximize reimbursement and reduce payment delays.
We manage all communication with payors — portals, fax, calls, and Peer-to-Peer reviews — ensuring timely responses and escalation when delays occur.
You can lower your in-house costs by 60% with bServed’s Utilization Management and Case Management programs.
Payors continually change requirements for stay justification. CMS interoperability deadlines are approaching
bServed – An indispensable partner in lowering health care costs while providing the best patient care.
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