FOLLOW UP! Two different types of accounts receivable reports are worked each month in order to follow up on all outstanding claims. We are constantly checking to make sure your claims don’t just sit there.
This answer depends on which insurance carriers you are currently contracted with, but in most cases we can completely set up and begin filing claims for you in 5-10 business days
No, many plans do not require you to be in network. large plans like Medicare, Medicaid and most HMOs require a provider contract in order to process your claims.
Just fax, mail, or SFTP the superbill and presecrpition/CMN for each patient and we’ll enter and submit the claim within 24 hours of receipt.
If a required piece of data is missing, we’ll contact you right away for the answer.
We have the ability to file claims electronically to different payers! More than 94% of our primary and supplemental claims are submitted electronically, which means you get paid faster!
We will contact the insurance and find out exactly why the claim was denied. If information is needed from you, we will contact you right away. Otherwise, we will process the denial and inform you if there is a problem.
Most EOBs or Explanation of Benefits are mailed to the provider, so you would fax us all EOBs, correspondence and denials daily upon receipt.
No, Medicare and insurance will mail checks to you or electronically deposit payments in your bank account, depending on your set up.
We will bill the patient for you for 3 consecutive months and if there is no response from the patient, we will offer to forward the account to a collection service. A PLUS CODING CONSULTANTS will send the account for you so that you don’t have to do anything.
Yes! Our patient statements list our phone number, so the patient will know to contact us regarding a billing question.
We will send you an invoice for our commission on the total collected along with an activity report at the end of each month.