Analysis & Benefits
At Inner Circle, we provide a fully detailed, and accurate benefit analysis. This provides our facilities a snap shot of clients insurance coverage, and estimated payment history.
Appeals & Denials
Some of the most common denials in behavioral healthcare are incorrect patient information, coverage was terminated, missing billing codes, no timely filing was done, and an authorization or a pre-certification was not completed.
Utilization Review is the process insurance companies use to approve, authorize, or decline services. The purpose of Utilization Review is to screen, and approve the “least-restrictive” clinical services on a peer case basis.