We bill claims electronically using Change Healthcare as our clearinghouse, giving us the ability to send & view claims and work on rejections & denials so that we can take proper action to correct and re-submit claims for faster reimbursement.
With our years of experience in collections, we do consistent follow-ups on patient accounts where payers have outstanding balances.
Authorizations and Gap Exceptions
Another add-on service we provide is Authorization and Gap Exception checking. We will contact the patient's insurance to obtain the Authorization and Gap Exception information, if any, which is another tool in our arsenal to minimize claim rejections.
We contact your patient's insurance carrier to get all the necessary policy information to submit claims with little chance of rejection.
We use the ERA available from Change Healthcare to help us resolve any issues that may arise with your claims. Getting corrected claims back to the payer to ensure prompt payment is our main concern.EOB's are posted to patient accounts for accurate accounting of charges, credits, and adjustments.
Billing Professional Services
Our billing software vendor, Synergistic Office Solutions (SOS), has been in business for over 25 years and has provided exceptional customer service to its clients. Professional Medical Billing Services (PMBS) takes pride in using one of the best products on the market. For more information about SOS Software, please visit www.sosoft.com.