STEP 1
Claims are entered into our EMR software, or we can use remote login for your existing in-office system. For practices with no EMR, claims can be emailed or faxed. We can also help you create or modify your current superbill.
STEP 2
All received data is entered into our system immediately upon receipt. 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 15 days. If payment is denied for improper reason, we send appeals along with appropriate supporting documentation.
STEP 6
Patient statements are sent 1st of every month, unless you specify otherwise. If the payment is not received on the first cycle, two more statements are sent, followed by a phone call. After that we contact you for final decision regarding pre-collection accounts. We utilize a collection agency, if necessary.