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- 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 use secure email to forward us daily billing documents.
- 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.
- 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 HGSAdministrators and Highmark, with commercial claims going electronically through our clearinghouse, CareVu. Medical Assistance claims are submitted directly through the “Promise” system. 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
- Practice Analysis
- Insurance Summary and Aging
- YTD Practice Analysis
- Additional management reports will be provided either quarterly, or at your requested interval.
- Insurance Analysis (primary and secondary)
- Insurance Aging
- Patient Aging
- 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. Most practices do provide originals.
- We handle all untimely paid insurance claim follow up necessary. 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.
WE TAKE ALL OF THE BILLING HEADACHES AWAY!
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