What are you fees?
Our monthly fees are varied based on the size of your practice, practice specialty, claim complexity and the number of services you choose to contract. This fee is a percentage of received revenue including commercial and government payers, co-pays, self-pays, capitation payments, etc. There are no initial START UP FEES.

What information is needed in order to submit claims?
* A Patient Registration Form including all demographics
* A Super bill/Encounter Form containing all CPT and ICD-9 codes and any modifiers
* A copy of the front and back of the patients insurance card
* Referring physician ID (if necessary) Certain claims may require additional information in order to process. We will ask for this information upon request.

How does this information get to your office for processing?
It can sent via:
* Fax (you must have a dedicated fax line)
* Courier service
* E-mail (you must have the capability to send encrypted-mail)
* Mail (UPS, FEDEX or USPS with tracking)

How often is the information sent?
We suggest twice a week for average size practices. If the practice is very large, we suggest daily.

Can you submit claims electronically to all insurance companies?
The majority of commercial insurance companies accept electronic claims, including Medicare, Medicaid and BC/BS. In any case that the company does not, we will send the claim on paper.

Where does the carrier send the Remittance Advice/Explanation of Benefits and check?
All mailings are sent to your office. We will need a copy of the Remittance Advice or Explanation of Benefits in order to follow-up and post payments.

What is your follow-up process on unpaid claims?
We follow-up on all unpaid claims and submit whatever is required in order for them to process. If the claim remains unpaid, we will file an appeal with the carrier.