Provider Applications and Enrollment Caid Solutions enrolls your facility in state medicaid programs and HMO plans. All enrollment documents are completed in full by our staff and sent to you for review and signature making this cumbersome process effortless for you! Provider numbers are updated and maintained with the states thereby reducing provider related claim denials. Eligibility Verification and PCP Referrals We confirm patient eligibility, determine timely notification requirements and obtain primary care physician referrals. Prior Authorization Our staff assists in determining state authorization requirements based on specific services. Caid Solutions works as your liaison in securing authorization and appealing for retro-authorization when required. Billing and Follow-up Our sophisticated system edits ensure compliance and quality control. Clean claims are submitted within timely filing requirements to proper payers. Prompt and accurate reimbursement is ensured by utilizing the latest technology. Account Reconciliation We provide specialized Month End reports for your easy reconciliation, just to name a few; active claims, payments and invoice summaries. Appeals Caid Solutions submits claim and payment appeals when applicable and represents your hospital in subsequent hearings.