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 payer (insurance, Medicare, Workers Compensation, etc)

· 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: 

Our monthly fees are $3/claim, based upon the number of original claims submitted. 

The minimum monthly fee for Basic Claims Processing is $75

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:

· 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

FEES FOR CLAIMS PROCESSING WITH PAYMENT TRACKING: 

Our monthly fees are as follows: 

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

· $2.50/secondary claim

· $1.50/client invoice prepared ($2.50/client invoice if mailed)

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

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.  Our hourly rate is $50/hour, with a 2-hour minimum.  An additional $50 fee is charged for travel.