How often should I send new billing information?

New information should be sent on a regular and consistent basis. Most providers will tell you to send data on a daily or weekly basis.

What information is needed to generate a claim?

Most medical billing services will ask for the basics: a new patient information form, a copy of the patient's insurance card or WC ID card, the patient's written prescription (if applicable), and the patient's treatment form.

Do I have to report insurance payments to my provider?

Yes, you do. You want to send the information so the provider can enter the carrier's payments and generate patient statements for accounts that still have a due balance.

What happens if I do not submit needed information?

Most providers want the process to run as smoothly as possible for both parties. They will usually send any forms lacking information back with an indication of the missing fields.

How often will patients be billed?

Patients are usually billed on a monthly basis. Patients will receive a bill for their portion of the balance once payment has been received by the insurance company.

How are non-payments by the insurance handled?

Most providers will send up to four statements in addition to phone calls. After this process, the account will be turned over to a collection agency after 120 days. Most providers recommend adding additional fees to dues that are not paid within 30 days.

Do I have to collect every co-payment?

Yes, you do. Not collecting co-payments is considered fraud and is a violation between the patient and their insurance carrier.

How quickly can I establish the process?

Most providers will start immediately, but it will depend on the size of the practice and the logistics of the patients. Becoming fully operational could take one week or up to three months.