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Medical Billing & Practice Management

Your Total Billing Solution

Doctor's Office
(You)

Insurance Company

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Billing Company
(US)

Clearinghouse

Let's break it down!

Submitting claims on paper to insurance companies has been the traditional process for decades. However, paper claims must go through an extremely time-consuming and tedious process that causes the reimbursement to take 60-90 days. In contrast, submitting claims electronically is a breeze.

Step 1

Preparing Electronic Claim information (Superbill, SOAP notes, All necessary information)

  • Our servers are secure and HIPAA compliant.

  • We make sure only the minimum necessary information is sent for the claim's purpose.

Step 2

Filing claim forms using Claimtek software.

  • We file all types of claims from outpatient physician services (CMS-1500) to inpatient DME reimbursements (UB-40)

Step 3

Submit the electronic claim to the clearinghouse

  • You will utilize a reliable clearinghouse that ensures compliance and correctness.

  • You will have peace of mind that your claims will be approved

Step 4

The claim is then sent to the insurance carrier.

  • We work with all different kinds of carriers: Medicare, Medicaid, Commercial providers, Workers Comp., Tricare, etc.

Step 5

The insurance carrier sends EOB and Remittance Advice

  • You and the patient are notified of what will be covered.

  • Reimbursement is then sent.

  • You can be reimbursed directly through our direct funds transfer service.

Step 6

Follow up with patient on remaining balances.

  • We can set patients up with a TILA-compliant (Truth In Lending Act) payment plan.

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Time is on your side.

Our billing cycle is complete in about 48 hours from the time the claim is sent. Comparing that to the paper method, you can see our system is much more sustainable. We will save you time so you can focus on what matters: your patients.

Our compensation rates range from 4% to 8%, depending on the needs and size of your practice. Flat rates can also be discussed, generally ranging from $3 to $6 per claim.

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Find the right price for you.

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