A relatively small but often extremely problematic portion of a hospital’s overall A/R can consist of claims for non-U.S. citizens. But while the volume of these accounts is small, the balances for these claims can be significant. That’s because foreigners within the United States who are admitted to hospitals often do so via the Emergency Department as the result of very serious illnesses or accidents.
While the care provided to these patients does not vary from the care provided to U.S. citizens, the method of claims resolution can vary greatly, depending on the ultimate payer of the claim, including:
Recovery on these claims is complicated by the terms of the foreign insurance policies, language and cultural barriers, time zone differences, and currency conversion calculations.
RSource has the resources to obtain timely reimbursement of these claims. Starting with its in-house staff of attorneys, the RSource team reviews each account to determine the likely payment sources and contacts each, in their native language, to begin the claim resolution process. With their extensive experience with international claims, our attorneys efficiently cut through the procedural roadblocks payers create to stall and delay claim payment in their effort to avoid payment altogether or obtain deep discounts.
Accounts placed with RSource’s International Claims Program are typically placed within 60 days of patient discharge.