Ace Collections LLC

We recovers claims for providers from managed care payers. We review claims which the provider has written off or has been denied for recovery

We research and resolve denied/problematic claims related to: • Medical necessity not established pre-services and post-services • No pre-certification • Utilization review issues/authorization issues/level of care issues • Non-covered services • Provider non-participating • Correct coding initiatives • Place of service • Contracting issues What makes us different is our ability to research claims relative to state regulations, federal regulations, national medical review policies, national billing guidelines, managed care contracts, health insurance policies and procedures and ability to hold the health plans to providing coverage on behalf of their enrollee.