OUR DENTAL & MEDICAL INSURANCE BILLING SERVICE FEES
The amount of work to send claims, post EOBs, appeal denied claims, and keep your over ninety days insurance accounts receivables at a minimum is variable depending on how many patients you service monthly. The fees for this insurance accounts receivables service “as described in the above bullet points” are variable depending on what is collected from insurance. The following payment schedule applies for all offices:
Complete Medical
Billing Service
15.0%
service fee of Payable amount
- Staff Medical Billing Support Service & Training - 2 Hours
- Setup Fee to clearane house, ERA, EFT, EDI
- Unlimited Insurance verification
- Treatment Benefit BreakdownNo Hidden Costs
- E-Claim submission (Includes fee pay to clearance house to delivery claim submissin & ERA)
- Claim Follow up
- Claim Collection
- Manage Claims submission
- Provide EOB Statement(EOB will not be posted to your practice ledger)
- Monthly Report(1st of each Month)
Complete Dental
Billing Service
8.0%
service fee of Payable amount
- Staff Medical Billing Support Service & Training - 10 Hours
- Setup Fee to clearane house, ERA, EFT, EDI
- Unlimited Insurance verification
- Treatment Benefit BreakdownNo Hidden Costs
- Prior Authorization$150/Month if required
- E-Claim submission (Includes fee pay to clearance house to delivery claim submissin & ERA)
- Claim Follow up
- Manage Claims submission
- Claim Denial & Appeal
- Provide EOB Statement(EOB will not be posted to your practice ledger)
- Monthly Report(1st of each Month)
Additional Service
- Basic Medical Billing Training for Doctors & Staffs
- Free 2 Hours Trainingfor new Provider Register(Webinar or Seminar Location)
- Prior Authorization (if required)Includes Letter of Medical Necessity $25/LMN
15%
Small sized Medical Claims
- If the office’s Medical insurance Claim submittion are under 25 claims/month
- The fee for this service described above is 15% of Insurance Collection
13%
Medium sized Medical Claims
- If the office’s Medical insurance Claim submittion are 25-50 claims/month
- The fee for this service described above is 13% of Insurance Collection
10%
Large sized Medical Claims
- If the office’s Medical insurance Claim submittion are more than 50 claims/month
- The fee for this service is 10% of the total Insurance Collection
Government Programs
- Medicare Part B
Individual Service Fee $550Organization Service Fee $500
- Medicare Part B-DME
Sleep Apnea, TMJ/TMD & OrthoOrganization Service Fee $800Contractor Service Fee $600 (estimate)
- Medicare Supplement
Service Fee for 5 Insurances $1500Service Fee for 10 Insurances $2500
- Tricare(Active Duty Military Health Plan) Organizaton & Individual Service Fee $750
- ChampVA(Retired Military Health Plan) Organizaton & Individual Service Fee $750
- US Department of LaborGovernment EmployeesWorkerscomp $1000
- Denti-Cal $800
- CAQH Provider Information Access for Credentialling $800(Required for PPO)
- Admitting Hospital Privilege Contract Fee $1000 (estimate)(Required for PPO & Medicare HMO)
Commercial Health Plan
- In-Network Provider
Aetna $1000Cigna $1000Bluecross $1000Blueshield $1000Bluecross Blueshield $1000HealthNet $1000United Health Care $1000Scan $1000Physical Health Care $1000Care1st $1000
- Out-of-Network Provider
Aetna $2000Cigna $2000Bluecross $2000Blueshield $2000Bluecross Blueshield $2000HealthNet $2000United Health Care $2000Scan $2000Physical Health Care $2000Care1st $2000