RCM SLAs
Outstanding Accounts Receivable (AR): 95% of claims will have a note associated with them in Athelas Insights within sixty (60) days of the most recent claim submission if not reconciled.
EOB Transcription: 98% of Explanation of Benefits (EOB) documents uploaded by the client will be transcribed within seven (7) days.
Denials/Rejections: 95% of claim denials or rejections under Athelas' responsibility will be worked within 45 days of the most recent decision.
Eligibility Checks: 95% of all appointments will have all attempted eligibility checks completed by the morning of the appointment when scheduled.
Claims Submissions: 95% of claims will be submitted within 24 hours of being closed in the client’s system.
Appeals: 95% of all appeals will be submitted within 14 days of the appeal initiation.
Payments: Athelas does not guarantee an increase in payments.