Service Fees: $3.00 per standard primary claim transmission and $3.00 per standard claim transmission.
In this level, information is gathered on intake sheets (ours or yours) and is faxed or transmitted to our office. The claim is created from this information. In addition, we offer Clean Claim Review before transmission to catch omissions, incorrect formats, wrong codes, etc. and automatic billing of the Secondary Carrier when the Primary EOB is received.
DELUXEService fees: $3.00 per claim. $10.00 one time charge on the first month claim billing for CMN management. $2.00 for producing and sending the tenth month decision letter.
This level includes all aspects of Level One, plus the addition of CMN and capped rental management. Correct modifiers are applied to the appropriate months for the capped rentals. The tenth month decision letter is printed (with your store's name on it) and mailed to the patient. All CMNs are printed and sent to the physician. We maintain contact with the physician on your behalf and track the CMNs for return from the physician. We will also track the expiration date of the CMN, print and send a renewal CMN to the physician one month before the current CMN expires.