What makes Professional Billing & Collections different in their Private Insurance billing is the fact that we have all the patients benefit information, know what CPT codes are covered, our diligence in the collections process and our special attention to the details.
It all begins with our insurance confirmation. At that time we find out the co-pay, deductible, correct billing address, what cpt codes are covered, what test or procedure codes require authorization, etc.
If a client doesn't participate with a particular insurance carrier, and he/she wants to, PBC will assist them in that.
If a client wishes for us to collect deductible or co-pays from a delinquent patient, we will do that. If a client collects his own co-pays and deductibles, there is no charge from PBC. We only get paid from the insurance company checks when they are received.
PBC submits bills electronically and/or paper claims.
If a client previously submitted claims electronically and they remain unpaid we can get them paid.
When a bill is submitted and there is no response from the carrier after 21 business days, we begin our collections process. That process will not stop until the case is resolved.
The client will receive a case-by-case call status report, on a monthly basis. At any time a client can call our office for an update on any case, and get a same day response.