Credit Balance Resolution

We resolve credit balances, not just overpayments, and work as an extension of the provider's business office

The Challenge

Managing and reconciling credit balances is tedious and costly, yet is a key business requirement for any facility to ensure profitability, sustainability and compliance in today’s healthcare environment. TREND can ease that cost burden by delivering a configurable credit balance resolution strategy and comprehensive reporting package that is unique to your facility.

The Solution

We resolve credit balances, not just overpayments, and recover on behalf of our insurance payer clients as an extension of the provider’s business office. Our recovery analysts take ownership of their assigned accounts to bring them to an accurate and efficient resolution, as we maximize our value to you. You control the process. We ensure it is done efficiently and accurately.

Average years of credit balance resolution experience for a TREND recovery analyst

Average number of accounts worked per day by TREND recovery analysts

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Average percentage of credit balances resolved via overpayment refund

Ask about your NO COST options

Our Service Modules

Below are the service modules found in TRENDConnect which support our Credit Balance Resolution service:

TRENDAnalyze

Built to assist providers with credit balance resolution and provider account automation! Providers will set up credit balance transaction data files to send to TREND. After import of the data files, our algorithms identify various root cause scenarios such as patient overpayments, adjustment errors, payment transfers and more. TRENDAnalyze offers multiple resolution methods including complete automation through exported files to be loaded into the provider’s patient accounting system and/or more efficient processing within the application. TRENDAnalyze also improves efficiency through electronic provider approvals, dynamic dashboards and comprehensive summary and detail reporting.

TRENDResolve is a game-changer

Secure, cloud-based application

Our unique solutions are built on an advanced HIPAA-compliant, cloud-based technology platform that helps our payer partners to reduce redundancy, minimize cost, and manage resources more effectively.

Built from the ground up

Our application is a comprehensive, technology enabled solution created from a configurable suite of business process modules designed to minimize the cost and maximize the efficiency of the payer’s payment integrity program.

Dynamic dashboard reporting

TRENDResolve provides real-time status changes, an accurate audit trail and comprehensive reporting to provide key insights while more effectively managing this costly business requirement.

TRENDSubmit

Delivers health care providers a platform to electronically submit self-reported overpayment recoveries back to connected insurance payers. Providers will be able to search, link and submit claim details, applicable documentation and specific recovery explanations directly to insurance payer adjusters for review and reconciliation. This creates a streamlined process that enhances the communication between providers and insurance payers.

Collaborative and Transparent

Manage, track, submit and report on your inventory of credit balance overpayment recoveries. Our application provides real-time status updates, an accurate audit trail and comprehensive reporting to provide key insights while more effectively managing this costly business requirement.

Complements Your Existing Process

The utilization of the application is easy to implement and is provided at no cost. Providers will work through their existing processes to identify credit balance overpayments then submit for payer review and approval through TRENDSubmit.

Credit Balance Resolution Services

TREND employs a very skilled and experienced team of recovery analysts that provide credit balance resolution services to providers. Our analysts can work as an extension of your business office to reduce existing labor costs and allow providers to focus their efforts on revenue generating activities. In most cases, these services are provided at no cost to the provider.

  • Success rate in TREND quality assurance 95% 95%
  • Increase in productivity 20% 20%
  • Reduction in average days to resolve 32% 32%
  • Providers prefer TREND over other credit balance vendors 100% 100%

Are you TRENDING UP?

You want us on those credit balances. You need us on those credit balances. We use words like honesty, transparency and collaboration. We use these words as the backbone of a company founded to focus on you, our client. You use them as the values required by your vendors. We absolutely have the time and the inclination to meet with you for 30 minutes and give you a demo of our application. Either way, you are entitled to a credit balance vendor focused on maximizing their value to you!

Request a Demo

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