FAQ

Hire a insurance specialist to tackle the insurance needs for your solo or group practice.  Our billing service will verify you patient’s healthcare insurance; whether the patient has a copayment, coinsurance or deductible.
The billing service will submit claims to insurance and follow-up on claims until final resolution
If needed, billing service will submit Corrected, Voided claims to insurance
A billing service services many clients, based on the abundance of insurance interaction they see insurance issues that could affect your practice positively and save you issues with insurance.
Example, Medicare billing for telehealth has a better reimbursement when using a different modifier and location.

We submit claims electronically.  In the rare case that an insurance company does not accept electronic claims, the claim will be faxed or mailed.

Yes, we submit claims through Emdeon EDI.

Yes, we submit the secondary claim after the primary insurance has completed.

Yes, we verify the patient’s insurance and send the provider and a report indicating the the co payment, or the coinsurance percentage along with the deductible, and the amount applied at the date of verification.

All monies from the insurance company are sent to you directly (electronically or check).

We invoice at the end of the month a fee for each Date of Service (DOS) that has “Paid” or “Completed”

As a business owner, your time is valuable and limited
The billing service will complete many task to free up your time to see more patients or more time for you and your family
Instead of calling insurance while you are eating lunch, the billing service will complete these tasks.

Billing Service versus hiring a person in-house
You will not need to pay Federal unemployment tax for an employee
You will not need to pay State unemployment tax for an employee
Will not need to pay the employer share of social security for an employee
Workers’ compensation
Additional liability insurance
Paid time-off for family or medical leave
As an employer you will need to pay for a place for an employee in your office
Additional square footage for the office
Additional equipment for an employee to work
Desk
Computer or laptop
Phone line
Printer with printer paper
Paper shredder
Office supplies