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Reimbursement
& Services
At BioLab Holdings, we are committed to delivering a seamless and efficient reimbursement experience for our providers, and distributors. Our approach combines internal expertise with trusted external partnerships to ensure that every aspect of the reimbursement and insurance verification process is handled with precision, speed, and professionalism.
To enhance the accuracy and efficiency of our insurance verification services, we have partnered with AdvantageRMA, an external team based in San Francisco. Their dedicated professionals manage all insurance verification requests related to our products. By leveraging their specialized knowledge and experience, we ensure all insurance requirements are fulfilled before a product is ordered or utilized; minimizing delays and helping to prevent claim denials.
Our goal is to provide reliable, proactive support to our partners, so they can focus on delivering the best possible care while trusting that reimbursement challenges are being expertly managed.
Support Services Provided
We proudly support providers and distributors nationwide with a range of valuable services:
Billing & Coding Guidance
Step-by-step support for billing staff, including correct coding practices and accurate claim submission.
Denial Resolution Support:
Explanation of the denial reason and possible contributing factors
Detailed breakdown of the appeal process
Clear instructions on next steps and required documentation
Onboarding & Refresher Billing Calls
Personalized sessions to ensure new partners start smoothly, with ongoing access to updates and billing education.
Appeals Assistance
Comprehensive guidance to help navigate and resolve denied claims, maximizing reimbursement outcomes.
Our commitment to results is reflected in our strong performance metrics, including a 96% approval rate at the second-level appeal stage: demonstrating the effectiveness and diligence of our team.
Reimbursement Team
Together, our internal team spans multiple U.S. time zones to offer consistent, nationwide coverage. With more than 50 years of combined industry experience, we serve as a true extension of your team; helping you navigate the complexities of the healthcare reimbursement landscape with confidence.
Shannon Smith
Senior Reimbursement Specialist
Brings extensive experience in appeals and payer negotiations, providing critical support for claim resolution and provider education.
Marcus Howard
Reimbursement Analyst
Specializes in coding accuracy, billing compliance, and payer correspondence, ensuring timely and accurate reimbursement.
Shannon Sturch
Client Reimbursement Supervisor
Leads both the reimbursement and insurance verification teams, overseeing operations and strategic initiatives to ensure process efficiency and compliance.
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