Working with insurance companies to receive proper reimbursement on services you have provided can be both challenging and perplexing. Keep in mind that most insurance companies are “for-profit” businesses and their goal is to be profitable… very profitable.

How does an insurance company make a profit?

Insurance companies can generate profit in a number of ways:

1. They can raise their premiums

2. They can reduce expenses by utilizing technology

3. They can make money on earnings from their investments

There is another way that insurance companies make money:

They deny claims.

Every time an insurance company denies a claim, it adds to their profitability.

Have you ever wondered why insurance companies deny so many claims, or create so many hoops to jump through just to get paid on your claims? They are counting on you feeling frustrated and overwhelmed and just walking away. They are hoping whoever handles your medical billing does the same.

Quantum Medical Billing views dealing with insurance less like a battle to fight or a war to win. Rather, it is…

A game to be played.

We believe the better approach is to learn to play the game the insurance company is already playing, and to become better at it.

Dealing with insurance is similar to playing chess.

To successfully play chess, you need to understand the rules of the game. You must master the strategies, know when to go on offense, when to stay on defense, and always be thinking 2-3 moves ahead.

QMB applies these principles to how we approach medical billing and revenue cycle management. This is how we have learned to streamline and simplify the very complex process of working with insurance companies and to get you paid for the work you do.

Our goal is to beat insurance at their own game!