Initially, your practice must be set up with our services and a clearinghouse and/or carrier. The price of registration includes processing your registration for our services, applying for your EC (Electronic Claims) approval, reviewing in-house forms (superbill, new patient info, etc) to ensure they contain all required fields, and loading your practices’ information into a database created specifically for you.  This is a one-time, non-refundable charge, which may vary between clients.

Patient Information
We maintain all pertinent patient information to file insurance claims for your practice. This information includes, but is not limited to, patient name, address information, D.O.B., sex, and insurance information.

Data entry of encounter forms
Patient encounter forms are entered into our server within 24 hours of receipt. Insurance claims are generated and transmitted daily to our clearinghouse, which in turn transmits them to the various insurance companies that same day. For insurance companies that do not accept electronic claims we process and mail them.

Posting Insurance/Patient Payments
Secondary insurance claims are generated and mailed immediately after we post the primary insurance payments.

Insurance claim follow-up
Each month we print and review the insurance aging report and follow-up on any unpaid claims.

Patient Statements
Patient statements are mailed on a monthly basis. The patients are billed for deductibles, co-pays, and remainder amounts after the insurance company has adjudicated the claim. We also call the patient and request a payment be made if the balance is over 45 days old.

Aged Patient Accounts
Patient balances greater than 90 days old are reviewed, the patient is called by our company to setup a payment plan, and/or pre-collect letters are generated to these patients. We will provide the practice with a bad debt report quarterly.

Backup Server 24/7
We backup every client’s data daily. See support services for more details.

Receivable Cleanup
We will work your old receivables, prepare claims for resubmission, identify bad debts, and prepare write-offs.

Prepare credentialing documents
As an extra added no cost service, we will prepare provider applications with the various insurance companies that you choose to participate with. This includes gathering the supporting information and documentation, presenting the completed package to you for review and signature. We also mail this package “Certified Mail, Return Receipt Requested” to the insurance company Network Provider Office. We follow-up with these applications each month until you become an “In Network” provider.

HIPPA
All your practice information and insurance claims are fully HIPPA compliant.

Staff Training
is fully prepared to conduct training with your current or new staff members..

Practice Fee Schedules
Our staff continuously reviews the practice fee schedule to insure that you are receiving the maximum reimbursement for your services. EOB’s are reviewed as we post insurance payments to maintain an accurate “submitted charge” to “allowed charge” ratio.

Practice Disaster Recovery
Should your practice experience a fire, flood or any type of natural disaster, you can be assured that backup patient accounting data and documentation will be available.

For more information please contact us.