Billing Service Plans

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This service is good for providers who would just like insurance claims submitted and wish to maintain full control of client receivables. With Basic Claims Processing, we provide:

· Maintenance of client demographic information

· Preparation of primary insurance and Medicare claims for processing (CMS 1500 02/12 Form)

o Note: CPT codes, Dates of Service and Diagnoses recorded are per Provider’s information submitted to Colangelo Consulting

· Electronic submission of claims to clearinghouse

· Paper claims submitted as needed to third-party payers (e.g. insurance, Medicare, Workers Compensation)

· Follow-up with insurance providers for rejected claims*

· Correction/resubmission of rejected claims*

· Copies of Electronic Remittance Advices forwarded to provider

FEES FOR BASIC CLAIMS PROCESSING: The monthly fees are $4/claim, based upon the number of original claims submitted. The minimum monthly fee for Basic Claims Processing is $100.

Our most popular plan - this allows the provider to spend more time with clients and less time tracking payments. 

All the services included within the Basic Claims Processing plan, plus:

· Insurance reimbursements credited to individual client accounts

· Secondary claims prepared and submitted, as needed

· Monthly reports listing payments received

FEES FOR CLAIMS PROCESSING WITH INSURANCE PAYMENT TRACKING: The monthly fees are as follows: 

· $5/primary claim, based upon the number of original claims submitted

· $2.50/secondary claim

The minimum monthly fee for Claims Processing with Payment Tracking is $125.

All the services included within the Basic Claims Processing plan, plus:

· Enter client payments to accounts by date of service

· Insurance reimbursements credited to individual client accounts

· Secondary claims prepared and submitted, as needed

· Preparation of client receivable reports

· Preparation of client invoices for provider review

· Mailing approved client invoices

· Monthly reports listing payments received.

FEES FOR CLAIMS PROCESSING WITH PAYMENT TRACKING: The monthly fees are as follows: 

· $7.50/primary claim, based upon the number of original claims submitted

· $2.50/secondary claim

· $2.50/client invoice prepared & emailed ($3.00 if mailed via USPS)

The minimum monthly fee for Claims Processing with Payment Tracking is $175.

 * Please note that additional fees may be charged if there are systemic issues with claims which are not readily addressed through normal correction/resubmission processes. In such extraordinary circumstances, we will discuss reasonable ways to handle the situation. 

 · On-site services: Consulting and select insurance/client billing services are available on a limited basis at the provider’s office. These services are billed on an hourly basis.  The hourly rate is $100/hour, with a 2-hour minimum.  An additional $50 fee is charged for travel. 

· Customized concierge services - rates begin at $100/month. These services could include:

o client portal services through provider’s EHR system (set up, send initial invitation and forms)

o direct demographic and insurance information from clients

o verification of client insurance benefits

· Courtesy billing services are available for providers whose clients are self-pay but would like to have out-of-network claims submitted to insurance companies. Rates begin at $75/month.

· Group Practices: An additional $50/month is charged for each additional provider in a practice.