A. Many procedures are needed to start the claims submission process, set up with a clearinghouse, insurance carriers, establishing your fee schedule, and creating your database… just to name a few. We invest a tremendous amount of time and energy providing these services to you, all of which take place before generating your first claim. So we charge a minimal fee to get started.
A. By percentage of amount COLLECTED-never a fee per claim. We are paid once a month on a percentage basis.
A. Provider credentialing, eligibility, authorizations, claims submission and claim denials.
A. We normally require the following (may vary):
- New Patient Information Form
- A copy of the patient’s insurance card (front and back)
A. YES, you should! Not doing so is considered to be fraud and/or abuse, and it is also a possible violation of the contract entered between the patient and their insurance carrier…and even the provider and their own contract with the insurance carrier!
A. We can start immediately! Generally, it can take an average time of one to two weeks, depending on the individual circumstances surrounding each client. We can give you a more specific time period once we have had the opportunity to analyze your individual practice.
A. Yes and we are AAPC certified.
A. We enter and submit within 2 to 3 business day of receiving the request or submitting of claims.
A. The billing function itself involves more than just processing claims. It’s all about the follow-up, follow-up and follow-up and that is what we do best. We don’t get paid unless you get paid!
A. Your checks and EOB’s will continue to be sent to your office. We will also set up direct deposit if you choose. All we need is a copy of the EOB or copy of the patients check for posting payments to the patients’ account.
