FAQ

How do we get our claims to you?
We can fax, “e” Mail or Courier Service. If you choose Courier service we will provide the pre-labeled mail packs with at our cost so that it is easy for your staff to get the claims and EOBs to us
Do you transmit claims electronically?
Yes, to those companies that have the capabilities. We do process some payers on paper only because it has been our experience that those are actually paid faster.
How quickly do we get reimbursed?
The average turnaround in the industry is 30-45 days.  Some are more and some are less.  Other billing companies say "you will get reimbursed in two weeks!" However, CMMS / HCFA are required to hold electronic claims for 13 days and 23 days for paper submissions. Even for commercial payers, 14 days is an exception and certainly not the rule.  Our average for Days in AR (for most of our clients) is 40 to 45 days.
Will you also be re-submitting for secondary insurance, tertiary?
Secondary and tertiary resubmissions are included in our service.
How do I know that you will be more effective than our own office staff?
We do more than process claims. We constantly follow up on all outstanding claims (weather Insurance or Patient bills). We are typically more efficient than your office staff because our staff only handles you claims where as your staff typically multiple tasks to keep you office running smoothly. Our staff is always undergoing training with all new procedures, codes and information regarding your account.
Will I have a dedicated Person to our account?

You will have a dedicated person to oversee every aspect of your account. We are in the US and have no offshore staff.

How often are my claims processed?
Within 1 business day of receipt.
Where does my money go?
All payments come directly to your office.  You then send us the EOBs. This way we can appropriately Credit the account and follow up with any balances (Secondary billing or Patient Super Bills).
How much do you charge for your services?
We will charge you a percentage of what we collect.  We charge no set up, monthly or minimum fees.
What do information is needed in order for your office to generate a claim on our behalf?
We normally require the following (may vary):
  • Patient Information Form
  • A copy of the patient's insurance card or Workers Comp. ID card (front and back)
How often will our patients be billed?
Any patient in our system will receive a bill for any balance due, once a payment has been received by their insurance carrier. Patients are billed on a monthly basis.  We work with all patients to set up Payment Plans if necessary.
Do I have to sign a contract?
We do not require that providers sign a contract with us.  However we will require a HIPAA confidentiality agreement with us. We are extremely confident that you will be satisfied with us you will want to continue using our services.  You do NOT have to sign any contract requiring you to use our services for any length of time.