When you see patients as a TNRN network provider, you submit one claim to TNRN (rather than multiple payers), receive prompt payment of claims directly from TNRN, and don’t need to worry about the administrative work in between.
Here’s how it works:
Physician orders radiology study for patient.
Patient contacts you directly to schedule a convenient appointment.
You contact payer only as necessary to verify eligibility, verify benefits and obtain pre-authorization.
You provide study and communicate results directly back to physician.
You submit claims to TNRN (electronic/paper).
TNRN reviews and re-prices claims on your behalf; clean claims are submitted to the payer within 24 hours.
TNRN handles all incorrect payments, inappropriate denials and appeals.
You communicate directly with TNRN with any questions about billing or claims.
Payer pays claims to TNRN.
TNRN posts payments within 2 days and mails checks to TNRN providers once a week; payment timeframe is dependent upon payer with an average turnaround of 45 – 60 days.