FAQ
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What do I need to provide to you so claims can be filed? - When the contract is first agreed to, I need basic information for the doctor(s) and patients regarding insurance. After that, on a regular basis (presumably daily), I would need information regarding the days activities, including procedures and diagnoses.
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What exactly is the process for the filing of claims? - When I receive the needed information to compile a claim, it is compiled and sent electronically to OfficeAlly (billing clearinghouse). They check the claim to verify everything is correct and it is then sent out to the appropriate insurance company.
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What is the best way to submit information? - Submission by fax would be the most convenient method.
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How often are patient statements mailed? - Generally they are mailed once a month after a payment plan is set up. They are initially mailed out to inform them of what the charges are when the claim is sent to the insurance company. After an EOB is sent by the insurance, another statement is sent to the patient. If needed, a payment plan is set up at that point. Each statement that is sent to a patient is accompanied by a letter (post-EOB letter) explaining what the status of their account is. Statements can be sent out more or less often if desired.
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Can patients call you if they have questions? - Certainly, I encourage it. They will be encouraged to call me with questions on the letters sent out with their statements.
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How are collections handled? - Insurance is expected to pay when the EOB is sent out. Patients are expected to set up a payment schedule when they received their statement. Both insurance and patients are to make payments payable to the provider that they owe, but will initially be collected by Day Medical Billing. The payment and the amount will be recorded and then mailed to the provider. This will insure that insurance/patients are paying, while allowing you to tend to your practice without having to track when payments are coming in and needing to follow up. If the situation escalates and payment has not been made, a collection agency will be brought in. When setting up your account, a general plan for when to bring in a collection agency will be arranged.
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About how long does it take to get set up for billing services? - Approximately one business week. During this time, along with organizing the information needed to file claims, steps will be taken to allow claims to be filed electronically from OfficeAlly to insurance companies. For most insurance, a pre-enrollment process is required for filing claims electronically from OfficeAlly to insurance companies. In most cases, the pre-enrollment only takes about one week. For insurance such as Medicare, the pre-enrollment process may take up to 6 weeks. In those cases, claims can still be submitted electronically to OfficeAlly, who then print the claims to be sent to the insurance. Once the process is completed, the entire claim submission process is electronic.
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Can we have access to our claim information? - Yes. Upon your request, a user account in OfficeAlly's Practice Mate can be created for you to be able to access claim information in your office. I would also provide training for the program.