Services
Full Practice Management
We will electronically submit your claims, post all client and insurance payments, follow-up with insurance companies, and send monthly client-due statements.
Verification of Benefits
We will contact your client's insurers and verify all benefits, including deductible benefits, co-insurance, and network benefits.
Provider Enrollment/Credentialing
We create, maintain, and update CAQH profile. We complete all applications and necessary paperwork on your behalf with the chosen payer networks. We follow all payer contracts through to contract load date and provide copies of fully executed contract and fee schedules to your practice or billing company.
Payment Posting
Scanned EOBs and checks are sent to our team for payment posting. We can also post payment fetching ERAs from the clearing house or insurance web portals. All payments are entered into the system. As part of this task, we also charge appropriate patient accounts, print patient statements, file secondary insurance, and initiate the process for denied claims. The amounts from EOBs/checks and amounts posted in the system are reconciled on a daily basis.
Accounts Receivable Follow-Up / Denial Management
Once the claims are submitted to the payer for processing, our expert follow-up team resolutely pursues all unpaid claims that have crossed the 30 days bucket in order to reduce the accounts receivable (AR) days of the claim. Sometimes, the claims are not received by insurance so to avoid timely filing limit we ensure the correct payer ID or mailing address and resubmit the claims. Sometimes, the claims are underpaid by the insurance payer, and in this case, we ensure that the underpaid claims are processed and paid correctly. We provide required medical documents to insurance payer if any requested and some denied claims are appealed by our AR team.
Facts for Providers
All insurance EOBs and checks are sent directly to you, the provider.
LC Billing Corp is HIPPA complaint. We hold ourselves to high ethical standards pertaining to your clients PHI.
LC Billing Corp will provide verification of benefits as an add-on service. Once benefits are verified, the providers office must obtain authorization, if needed.