OPBS Packages - Gold Package
- Charge entry
- Electronic claim submission
- Claims follow-up
- Billing of patients’ accounts
- Collections old A/R
Includes:
Charge Entry
- Verify delivery receipts matches codes that were verified
- Verify that Detailed RX, LMN, diabetic verification and all other paperwork in order
- Enter all charges within 24 hours of receiving delivery receipt (if all necessary paperwork is already on hand)
- Claims submitted electronically on a daily basis to all carriers who accept electronic claims - Paper claims also submitted daily
Claims Follow Up/Billing Patient Accounts/Old A/R
- Call insurance 15-20 days after submission to verify that they did receive the claim
- Posting of all insurance and patient payments to patients accounts. • Appeal any denied claims
- Call insurance companies on any claims not paid within 30 days
- Send patient statements for balances owed after insurance
- Send out pre-collection and final demand notices to patients who do not respond to regular monthly statements
- Receive and address calls from patients regarding their balances, and payment plans; to free you and your staff the time used to deal with this sometimes uncomfortable situation
