Services Offered

Billing Services

A billing service is to serve your private practice. To facilitate in the background task that primarily focuses on the interaction of insurance and your business.  We understand that most providers are in the business of therapy to see patients, not spending hours on the phone with calling through the insurance call center loop of departments, while you are eating lunch.  Or taking a morning of administrative work to follow-up on insurance issues. That is our responsibility to follow-up on claims until final resolution.  Even when insurance pays a claim incorrectly, we will call through to have them reprocess claims.  Since the start of COVID, insurance has been improperly paying claims, either with or without a co-payment with telehealth. 

Services we perform with the Billing Service

1. Patient insurance verification

     a. It’s important for your practice to collect the proper amount from each patient.  Whether the patient has a copayment or deductible

2. Claims submission

3. Claims follow-up until final resolution

   a. Sending of “corrected” claims (as needed)
   b. All items on the claim form can be “corrected” i.e date of service, place of service, CPT or service code, diagnosis, charge rate or bill rate, number of units, provider of service, service location

4. Work with our providers to accurately use all CPT or service codes to bill insurance for sessions.

Insurance payers

Private insurance

When we refer to healthcare most individuals are not aware of the healthcare benefits and their out-of-pocket cost.  Employees of the company may choose the amount of a copayment or a plan with a deductible.  Each plan has a cost associated, such as those with a copayment cost the most, versus plans with a higher deductible have a lower cost to be deducted automatically from their payroll check.

The healthcare policy is chosen during the period known as “Open Enrollment.” Typically, October through November, allow employees to choose the dental, health and vision plans during this time for the upcoming coverage year.  During this period the employee of the company will choose their health plan, the insurance company and spouse and dependents to be covered.

Through private insurance, the individual policyholders are offered EAP from the employer.  In the case, the employer has EAP  (Employee Assistance Program) benefits, you will be able to see a mental health counselor without any fee for a set number of visits, example six (6). 

Private Healthcare insurance companies are Aetna, Blue Cross, Evernorth (formerly Cigna), GEHA, Harvard Pilgrim, Healthy Connection, Humana, Magellan or United Healthcare (Optum).  As well as, the many third party servicing companies such as Allegiance Health, Allied, Beacon Health, and Meritain Health.

Government insurance

Medicaid is an individual state healthcare plan that covers members of the state with income qualifications.  Normally, for Medicaid there is no out-of-pocket- expense or it will be very low.

Medicare is for those 65 or older, young people with disabilities.  Medicare coverage is for healthcare,  along with mental health visits for its members.  Medicare’s out-of-pocket cost is low for its members.

Tricare is a managed health system of the US military, which allows active duty, civilian and retiree and dependent benefits to see healthcare professionals outside of the VA system.  

We offer our services to individual and group practices in all the states across the united states

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