Committed to serving our providers
Starting in 2010, we have focused extensively on mental health insurance billing. We started our billing service working with psychotherapists in Georgia and Massachusetts. We work with individual as well as medium size group practices, with varying specialties of psychotherapy. Our providers range from (LISW) Licensed Social Workers to Psychiatrists who complete psychiatric testing.
Since that time, we have expanded our practice to work with providers in various states across the United States. Within this operation, we have submitted thousands of claims and participated in endless hours of phone conversations with insurance companies. This time has allowed us to ask the proper questions each time when dealing with insurance representatives, as we are aware that each person has a varied commitment to servicing the “Provider Line”.
Each state has varying challenges with insurance needs which can be dominated by the largest employer in the area, along with unions servicing their members to different third-party insurers who service mental health plans. It is our responsibility to follow the lead from the healthcare insurance card to determine who is the final insurance servicing company that is to receive the claim for processing and ultimately issue reimbursement to the provider.
We believe that our daily tasks should add value to each provider. Our providers do not need to call insurance companies, as it is part of our responsibility to follow up and inquire regarding insurance issues. This allows us to focus on the insurance portion, and you and the provider can focus on your patients’ needs.
In 2015, the owner, Michael Williams, started working with a start-up software company, Simple Practice, which needed his expertise with insurance and working with clearinghouses. This experience allowed a full submersion into the back-office operation of the claims process.
Starting with what the user sees on the CMS-1500 form to how that is converted to ANSI format by the clearinghouse and the 837 transactions that are transmitted to the insurance company by the Payer ID.
Along with the adjudication process of the claims within the insurance company, until they make the final resolution on the claim and issuance of the (EOB) Explanation of Benefits or (ERA) electronic Remittance Advice or 835 files. This will include the time frame of the reimbursement by checks or (EFT) electronic Funds Transfer.
As a billing service, we have expertise in the operation of varying mental health practices and can share many ideas and experiences with our providers on how to operate a successful practice. With this expertise and experience, we have worked with our providers to reduce their dependence on insurance concerns and allow them to operate a successful practice without taking insurance to be a non-credentialed provider.
Our work is heavily shaped by our core values
01.
Compassion
02.
Progression
We want to keep adapting to different situations, with a desire to learn and strive to be better. Learning new trends and technologies in the industry.