Our services
Billing & Claims
Management
Transparent and timely communication throughout claim process
Ensure all coding is accurate
In and Out of Network Billing
Electronic claim submission for fast payments
Claims denials or rejection follow up and re-submission
UB04 & HCFA-1500 billing with appropriate coding
Consistent and aggressive follow-up on unpaid claims
Single-case agreement and in-network contracting negotiations
Payment posting and customized reporting
Patient statements (If applicable)
OUTPATIENT BILLING
MEDICATION MANAGEMENT BILLING
PARTIAL HOSPITALIZATION PROGRAM (PHP) BILLING
INTENSIVE OUTPATIENT PROGRAM (IOP) BILLING
AMBULANCE BILLING
Eligibility Verification
Our Team can verify benefits prior to the first session to avoid frustrated clients. This helps avoid large patient balances and you dealing with uncollected payments owed from clients. In order to avoid clients being surprised by a lack of insurance coverage, having benefits verified will help save you time and money.
Benefit Verification In & Out of Network
Deductibles
Co Pays
Out of Pocket Max
Single Case Agreements
Prior Authorization
Rate Negotiations
Contracting / Credentialing
Our staff members are trained specifically in how to help therapists, psychiatrist & MD’s get credentialed they will handle the entire process from start to execution of your contract. Our therapy credentialing and contracting services include the following:
Complete all application forms, materials, and submissions for the insurance company
Handle all communication and correspondence with insurance representatives and network management teams
CAQH assistance
Setting up EFT, EDI/ERA enrollments (if applicable)
Update Bank Account Information (if applicable)
Submit network appeals in the event of network participation denials
Additionally, because our staff is trained in both behavioral health credentialing and billing, we will help ensure that your contracts are set up correctly, to avoid costly billing errors.
