How It Works

How It Works

  • You maintain control. All payments from insurance carriers and patients continue coming to your office. We do not re-direct your income to our office. Your staff would continue depositing income to your bank.
  • Many clients now scan their work and upload to our secure website to forward us daily billing documents.
  • For Medent users, we will review charges right from Chart Central before transmitting claims.
  • Otherwise, usually two times per week, (suggested is Tuesday and Friday, or the day after major procedures are performed), a packet should be sent from your office that would include; charge slips for treatment rendered with an attached copy of the guarantor’s insurance card (front and back), any supporting documentation needed to submit the claim, and any insurance explanation or patient payment receipts. This is the same information any billing department would need to complete the billing process.
  • If needed, mailing labels to send packets to our office will be provided for your convenience.
  • Usually within 24 to 48 hours from receipt of your packets, our office will key all charges and submit all claims. We will then post all payments and follow up any denials. Charges will be electronically submitted directly to Novitas and Highmark Blue Shield, with commercial claims going electronically through our clearinghouse, Health Smart.  Paper claims will be sent to carriers that do not accept electronic submission.
  • Day sheets recapping all charges and payments posted will be faxed to you after each packet received from your office.
  • The following monthly management reports will be provided recapping the months activity.
    • Deposit Report
    • CPT Unit Volume Billed
    • Insurance Summary Aging
    • YTD Practice Analysis
    • Productivity by Provider
    • Productivity by Facility
    • Patient Aging
  • Additional management reports will be provided either quarterly, or at your requested interval.
    • Insurance Analysis (primary and secondary)
    • Referring Provider Volume
    • Reimbursement by Carrier and CPT
  • Any original records you provide will be maintained during the billing process. After that time we will return those records for your safe keeping. A practice may choose to provide us with copies rather than originals.
  • We handle all insurance claim follow up needed to insure claims pay in a timely manner.  Aggressive claims follow up insures the maximum dollars to you.
  • We handle the mailing of all patient statements and follow up. Patient customer service is a top priority.
  • We handle all incoming patient billing inquiries. A toll free 800 number is clearly posted on all patient statements.
  • We prepare for your review any accounts requiring placement with a collection agency.
  • We prepare all patient and insurance refunds necessary.
  • We handle all insurance reviews necessary.

Sample reports can be viewed under our Reports tab.