Medical Billing Process
- Office charges, receipts, patient demographics, & insurance information is received via several options.
- Thorough review of all data is conducted before data entering.
- System audit is performed to ensure clean claims move quickly through insurance claim centers.
- Claims are filed electronically for all major payors who immediately audit claims & report back with preliminary claim status.
- HCFA's are printed for all claims that are payable by companies not able to accept transmission. This includes secondary & tertiary payors.
- Paper claims are reviewed for accuracy & mailed with required documentation.
- Payments are posted to accounts weekly.
- Bank deposits are made weekly.
- Statements are mailed to patients at regular intervals.
- Payment arrangements are made based upon client policy.
- Claim status calls are made to all companies, every month that are in receipt of claims for 60 days or more;
this includes professional appeals when necessary.
Our client base includes, but is not limited to: