Products & Services

MediGain specializes in Accounts Receivable Management and targets customers that include public and private hospitals, physician group practices, ambulance service providers, specialty medical centers and clinics.

MediGain's Account Receivable Management Services that include collections and billing services are listed below:

Insurance Claims Processing

Medicare and Medicaid
• Initial UB04 and HCFA1500 billing and re-filing as needed Electronic claims submission
• Appeal, follow-up and resubmission of denied or underpaid claims
• Weekly follow-up
• Payment and EOB posting

Insurance Company and third party payers
• Initial UB04 and HCFA1500 billing and re-filing as needed
• Electronic claims submission
• Paper claims submission for non-electronic providers
• Appeal, follow-up and resubmission of denied or underpaid claims
• Weekly follow-up
• Payment and EOB posting

Private Pay Customers
• Initial billing statement
• Payment reminder and statement fulfillments for early stage (30-90 days)
• Late stage collections for delinquent debt greater than 90 days
• Follow-up of claims which are delinquent, denied or underpaid
• Bill inquiry and customer service handling through toll free lines
• Long-term payment plans
• Skip tracing services
• Credit Balance Resolution and Reporting
• Credit Bureau reporting

Other Services
• Daily activity reports outlining key metrics
• Litigation management

MediGain will provide payment reminder and fulfillment services on a fixed fee as well as provide collection services on a commission basis at a 40% discount to similar US companies. Fulfillment services of letters will be processed from the US office. Payment reminders, collections calls and claims submission will be conducted from MediGain operations in Sri Lanka backed up by its head quarters in Dallas, Texas.

MediGain is equipped to handle DME, SNF, Hospital, Physician, Dialysis, Medical Transport, Outpatient Surgery, and many other Medical Specialty Services. MediGain's account managers, systems and processes strictly adhere to and comply with Health Insurance Portability and Accountability Act (HIPAA), Fair Debt Practices Act (FDCPA) and Office of the Inspector General (OIG) guidelines.