Step 1 : Signing of agreements .
a . General Billing Agreement.
b . Business Associate Agreement (HIPAA requirement) .
Step 2 : Collecting and verifying required information from you. Evaluate and make needed recommendations on practice brochures, superbills, patient information gathering practices, etc.
Step 3 : Set up your account in our (or your) software and/or determine secure, HIPAA-compliant access.
Step 4 : Register or confirm providers with a clearinghouse for the electronic submission of claims Step 5 : Collect all available information for any existing claims, such as:
a . Superbills
b . Patient Demographics and Insurance Data
c . Any Primary Payor EOB/SPR or Electronic Remittance Advice (ERA) received
Step 6 : Gathering the required remaining needed information for processing and submitting the claims. This step might also include the following:
a . Insurance or Patient Follow-ups
b . Analysis of group codes, reason adjustment codes, and remarks codes
c . Denial Management
d . Diagnosis/Procedure Code linking for maximum reimbursement
e . Submission of claims (Electronic and Paper)
Step 8 : We will collect the payment information from you or clearinghouse and will post the payment into our system and bill the secondary insurances or patients as warranted
Step 9 : We will invoice you monthly for a percentage of your received payments based on agreed rates