| 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
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 - $8 to $12 per hour
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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