Proclaims Medical Billing
FAQ Answer Page
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Q: Why should I outsource my medical billing? A: Outsourcing your billing to our company means you are hiring experts to work to increase your income. By letting our team of experienced staff focus on improving your cash flow, you and your office staff can direct your energies on the important task of providing patient care.  |
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Q: What does it cost to outsource?
A: The fee for our services will depend on the the service options you select. During our initial consultation we will ask questions about your practice in order to recommend the level of services that will best fit your practice. The cost will be based only on a percentage of the the resolved or collected revenue. It is NOT based on the charge amount. For example, if your charge is $100.00 but your contract with insurance company XYZ is to reimburse $80.00 as full fee then we will charge you based on $80.00. If you are not paid, then you owe us nothing. |
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Q: How do you manage adjustments/write-offs?
A: We will only accept adjustments from the insurance companies which the provider is directly contracted with. Any other adjustments made to the balance must have prior approval from the provider. |
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Q: How can I be assured my claims are being sent ethically?
A: We will always submit the claims as they are reported to us via superbill. However, if our audit suggests that a potential coding option has been omitted from the superbill, we will bring this to the provider's attention. Ultimately, charges will only be submitted as per the provider's written documentation on the superbill. Q: What happens if the insurance company denies a claim? A: Many times a claim is denied because a relevant piece of information is missing. Proclaims Medical Billing will contact the provider's office for the documentation and resubmit the claim in a timely manner for payment. Q: How does Proclaims assure faster payments from insurance companies? A: By utilizing national clearinghouses, we are able to submit claims for processing and have payment in as little as 10 days. Q: What is the typical turnaround time for our claims to be submitted? A: Once all billing information is received from the provider and no additional work is required to submit the claim, the claim will usually be forwarded to the clearinghouse in 48 hours. |