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CLAIM STATUS & DENIALS

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Slide One

CLAIM STATUS & DENIALS

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Claim Management


  • Status updates on all claims are tracked in our proprietary system. Paragon is prompted, and made aware of timely filing deadlines, to ensure claims are submitted on time. Timely filing windows/deadlines are predicated by the individual Insurance Carrier. Accordingly, windows are different depending on each payer’s unique requirements.
  • Tracking –  we utilize our proprietary system to highlight and alert us to claims that are 45 days and older, and which have not been paid. Based on this “Suspect Report” we preemptively call to find out the status, and if denied, why the claim was denied. This entire process is provided as part of the Paragon Service Bundle and requires little to no intervention by the Provider.
  • For Resubmissions – Paragon handles all claims on behalf of the Provider, and is responsible for follow-up and collection.

“We had our collections increase 30 % in 90 days – and time to collect went from 120 days to averaging 30. Couldn’t be happier” JB Heath Office Manager, Advantage Counseling

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