Claims and Communications
$2.22 per claim reviewed
Includes:
- Claim review before submission
- Claim submission
- Status follow up and resubmission
- Posting of payments
- Posting of denials and correction when possible for re-submission
- Communications of activities which may have lead to claim denial such as bad authorization or diagnosis code issues
- Patient billing includes a phone number dedicated to your practice for patients to call about their bill
- A Ticket is created when there is something wrong on the claim that the practice needs to correct. Such as a invalid diagnosis code or an incorrect policy number
- Tickets are created on our website to allow easy communications and resolution of issues
Paper Charts – No Electronic Records
$1.66 per encounter entered into our claim system
Includes:
- Entry of encounter / sale into our claim system from scanned documentation
- Scans may be uploaded to our website or we will access them in a secure document management system
- We will then bill and manage the claims for the additional Claims fee of $0.98 per posting
Eligibility and Authorizations
$1.32 per eligibility check
Includes:
- Checking on eligibility of scheduled patients
- Each daily excluding weekends and holidays the schedule is checked and all patients for the next week are verified
- Authorizations and a summary of the amounts to collect are posted into your system if available
- Messages are sent to your office for patients failing eligibility to contact for updated information
