Credentialing Service: Whether you are opening a new practice or have an existing practice. We handle complete Medical Practice Credentialing, monitor the expiration dates for State License, DEA, Malpractice Insurance, etc. Credentialing Consulting. We will customize a credentialing package that will fit your budget.

Claim Entry: Our Office will enter all patient registration, insurance information and all other pertinent information into our billing software within 24 hours of receipt. Charges are reviewed prior to submission therefore, reducing denials and underpayments.

Electronic Claim Submission: Your claims are submitted electronically within 48 hours of receipt to most insurance carriers, unless documentation needs to be attached to the claims, paper claims are submitted to carriers when applicable. Our insurance claim scrub report saves time and improves cash flow by validating important claim data BEFORE submitting to payers.

Payment & Remittance Posting: Payments are posted into our system upon receipt from your office. All payments are checked for accuracy to insure that their processed according to the fee schedule. Patient deductible, co/pay and/or co/insurance are billed to the patients. WE DO NOT RECEIVE MONEY JUST COPIES OF EOB’S.

Patient Statements: We will handle processing, follow-up and all calls about billing at the highest level. Think of all that valuable time your staff will have, not having to print, or stuff envelopes and mail patient statements besides the cost associated with postage, envelopes and printing. This service will save you 20% to 30% in direct labor and material savings.

Insurance Follow & Procedures: Our insurance follow-up procedures are prioritized and included in our fee. If a claim is denied, we start the appeal process. We call the insurance carriers to check the status of each claim. For example, the first status report is available 24hrs after the claim is filed. The report shows us if the claim has a “clean” status, any errors are immediately corrected.

Reports: We will provide, at no extra cost, management reports monthly and as requested by mail, fax or email.

Conference session: We will set up conference sessions either by phone or in person as needed. These conferences will be conducted to discuss previous and upcoming month’s activities to maintain and/or establish workable administrative procedures and to insure adequate exchange of information.