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 Step 1 – Billing is picked up by messenger or you may also fax us your superbills. If you currently do not have a superbill, we can help you create one. Step 2 - All received data is entered into our system within 2-3 days. Eligibility and benefits are verified for new patients, if necessary. Step 3 – All electronic claims are sent to the insurances via electronic clearinghouse. Paper claims are sent via USPS First Class mail. If additional documentation is required, such as doctor’s notes, test results, etc., we will notify you immediately before sending out a claim. Step 4 – Upon receipt of explanation of benefits (EOB), the payments and contractual adjustments are entered into the system. Step 5 – We follow up with insurance company if correspondence is not received within 30 days. If payment is denied for improper reason, we send appeals along with appropriate supporting documentation. Step 6 – Patient statements are generated and mailed 1st and 15th of every month, unless you specify otherwise. If the payment is not received on the first cycle, we send two more statements, followed by a phone call. After that we contact you for final decision regarding pre-collection accounts. Please note that we do not work with collection agencies. Step 7 – Every 2 weeks we will generate practice analysis reports for you. However, you will also have 24/7 access to your practice information via secured login and password.
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