Pricing of services is very sensitive issue as it involves comprehensive
understanding of scope of work. However, some estimates can be
made which depends on:
Packages
....................................................................................................................
1. Full Service Package
2. FTE Package
Full
Service Package :
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Full Service Health care claims Processing
– Demo Entry —> Charges Entry ->Payment/cash
Posting —>AR Follow up —> Patient /Insurance
Calling .—
The pricing would be in the range of 5% to 7% of
the total collections of the practice per month.
What
You Get?
We will take care of your entire Healthcare Claims processing
activities.
1. We will dedicate a Phone number for your Patients to call
our office customer service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super bills
4. Save about 40-50% of your existing cost or
owning billing staff
5. Follow up with insurance carriers for all submitted claims
to ensure proper payment of claims in
a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and
other
Commercial Carriers MCR Blue cross excludes Medicaid and Trust
Funds and Patient balance
* - If you signup
online Appointment scheduling services with us what we do the
eligibility of the Pt before the appointment and will notify your
office the status.
How
we do?
1. Super bills are collected from your office daily thru FTP
upload or PC Anywhere access.
2. Patient Demographics and charges are keyed into Online/ offline
Medical claims process software will be used to submit claims
electronically.
3. EOB- Explanation of Benefits is updated into billing software
on a daily basis.
4. AR aging reports are carefully processed and sent to your appraisal.
5. Insurance calling are done on claims based on the AR report.
FTE
Package :
....................................................................................................................
We can dedicate Healthcare Claims processing professional on a
FTE Model. Our Claims processing staff are certified and experienced.
He can perform task like Patient Entry/Charge Entry/Payment Entry
based on the client requirement.
Our Professional Entry capabilities working at the rate of 8Hrs/Per
Day
• Demographic Entry – 75 – 100
Face Sheets.
• Charge Entry – 100-150
Charge Sheets.
• EOB Posting - 250 –
300 Line Items.
The pricing would range from $ 8 to $ 12 per
hour depending on basic data processing to calling. This is inclusive
of Infrastructure and communication cost.
What
You Get?
We will take care of your entire Healthcare Claims processing
activities.
1. We will get you a Toll Free Fax number at your office.
2. Less than 36 hours TAT upon receiving super
bills
3. Save about 40-50% of your existing cost or
owning billing staff
4. Follow up with insurance carriers for all claims after 14 days
for the Electronically submitted claims
(Status Call)
5. We will Follow up with the Insurance carrier for Pending claims
and update you the status
6. Weekly production report and monthly AR aging report
7. Patient billing and invoicing will be done
8. Cost of claims submission is not included.
How
we do?
1. Super bills will be collected from your office daily thru
FTP upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed into Online/
offline Medical claims process software
will be used to submit claims electronically.
3. EOB- Explanation of Benefits will be updated into billing software
on a daily basis.
4. AR aging reports will be carefully processed and sent to your
appraisal.
5. Insurance calling will be done on claims based on the AR report.
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