Billing Process:

Data entry - we obtain information from the provider and/or practice and enter this information into our database.

File claims - most claims are filed electronically and only a few will go on paper. This is dependant upon the insurance carrier the claims are going to.

Statements - are mailed out from our office on behalf of your practice or facility. The protocols of statements and collections are done specifically to your specifications.

Payments - as we receive payments and explanations of benefits from you, we post these in to our database. Each EOB will be audited for correct payment and/or benefits.

Appeals - if a payment or denial has been made incorrectly, we challenge the insurance companies to receive the correct reimbursement for you.

Reports - are done on a monthly basis. Because each provider and/or practice is different, we customize our reports for you.

Fee Schedules - it is vital to have fee schedules with the insurance companies and networks that you participate in, updated on a yearly basis. We request these fee schedules and negotiate the pricing on your behalf. Inflation and cost of living increases on a yearly basis, so should your reimbursement.