Insurance Procedures:
- Account Managers verify insurance information
- Insurance claims are filed daily, electronically if possible, otherwise by mail
- Claims are verified daily as having been received by carrier
- Rejections are received electronically by carriers daily, claims are corrected and resubmitted by Account Managers immediately
- Requests for additional information from carriers are submitted to the practice and tracked by Account Managers until received
- After thirty days of non payment, insurance claims are automatically resubmitted
- electronically
- Insurance companies are called by Account Managers seeking status of unpaid claims daily
- After primary insurance has paid a claim, secondary insurance is filed and the full process is repeated
Patient Collections:
- All patient statements are processed minimally on weekly cycles
- Patients are billed in three cycles
- One or more pre-collection delinquent letters are sent to patients as follows:
- First letter sent when patients have not paid in ninety days
- Second letter requests payment in full or arrange a payment plan
- Final notices are sent to patients as follows:
- Patients have not paid in 90-120 days
- If no response after final notice, account set for review by physicians
- Doctors’ Choice will send accounts to client specified collection agency
- Special extended collection efforts are pursued per client request