Patient Medical Claims Assistance, LLC

Our staff is well-adapted to situations involving services needed by:

• Surgeons
• Mental Health Professionals
• Laboratory
• Pathology
• Primary Care Providers
• Chiropractors 

Our service packages are adaptive to what your specific medical practice needs. You have the option to utilize all of our offered services, or only the ones that you want. Our pricing options are subsequently based on what services you would like, as well as the size of your practice. We are able to service the smallest volume provider as well as larger, multi-specialty groups.

Please review the below list of our offered services, and keep in mind that a practice analysis is avaiable to assess how what we do can benefit you!

Credentialing

- Do you feel that you should recieve a higher reimbursement rate for your services?

- Are you interested in joining insurance networks in your area but are turned off by the thick and tedious applications and the just as tedious application process?

• Patient Medical Claims Assistance can help solve these problems. We can initiate a negotiation process in the attempt to increase your reimbursement rate from the insurances you are already participating with. If you are interested in participating with other insurance companies in your area, we can work through the application process    - with you and independently when applicable - so you can see more clients and grow your practice!

Full-Service Medical Billing 

• Verification of patient benefits.
• Insurance pre-authorization (if required) -- pending receipt of patient information prior to first visit).
• Tracking of visits per authorization – alerting practice when appropriate treatment forms need to be sent.
• Claim submission (and if necessary, re-submission) to primary and secondary insurance. 
• Appeal/Correction of denied claims.
  
• Posting of payments and adjustments from client and insurance.

Secondary Office Functionality

• Follow-up on incorrect insurance information with client.
  
• Mailing of statement to client.
• Answering client questions regarding their statement and insurance benefits.
• Tracking of self-pay client accounts, if requested. 
• Training your in-house staff remotely.
• Customizable answering service.
• Generation of practice-specific forms.
• As another service to your patients, we also offer patient advocating services. Please click on the "Patient Services" tab at the top of the page to find more information!

 

Many of our services revolve around utilization of the recognized OfficeAlly program. When contracted with Patient Medical Claims Assistance, you would share an account with our office giving you the same direct access to the client information, payment information, and follow-up documentation that our office operates off of.

The transparency of our operations keeps everyone on the same page and limits confusion between two separate offices. The ability of you to know how things are going is just as important to us as us knowing how things are going.