OUR SERVICES

Maximize your practice's reach and revenue with our Credentialing Services.

Initiating with the Credentialing Panel, we offer a one-time service at a fee of $300 per provider per payer, handling all aspects of initial credentialing. This includes verification of qualifications, certifications, and ensuring compliance with payer requirements. To keep your credentials current and prevent any disruptions in payer relations, we provide Credentialing Maintenance for a monthly fee of $1,000. This ongoing service manages all aspects of credentialing, from renewals to updating provider information, safeguarding your practice's ability to serve a broad patient base and bill for your services without interruption.

Pricing:

• Initial Credentialing: $300/provider per payer

• Credentialing Maintenance: $1,000/month

Enhance your billing accuracy with our precision-driven Coding Services.

Our team of certified coders brings expertise to both electronic and paper-based systems, ensuring that your claims are accurately coded the first time. With a deep understanding of the latest coding updates and regulations, we provide services that reduce denials and improve revenue cycle efficiency. Our coding professionals stay abreast of changes in medical coding practices to ensure that your billing process is compliant and optimized for maximum reimbursement.

Pricing: 2% of all Net Receipts

Streamline your billing process with our Insurance Eligibility and Referral Authorizations service.

Choose from our tiered Insurance Eligibility and Referral Authorization services tailored to meet the specific needs of your practice, ensuring all services are approved for payment by insurers and reducing administrative burdens for your patients. Tier 1: Basic Eligibility Verification Price: $2.00 per Check Ideal for: Routine services in general medical practice. Includes: Automated checks for standard coverage, co-pays, and deductibles for services like annual physicals, dental cleanings, and standard vision tests. Tier 2: Standard Eligibility Verification Price: $4.00 per Check Ideal for: Specialist providers like dermatologists, obesity clinics, and other procedural based practices. Includes: Manual verification for service-specific coverage and basic referral authorizations for procedures such as skin biopsies, chiropractic adjustments, and psychotherapy sessions. Tier 3: Advanced Eligibility Verification Price: $9.00 per Check Ideal for: High-cost or complex care settings like surgery centers, oncology, or cardiology clinics. Includes: Detailed analysis for out-of-network benefits and comprehensive referral authorizations needed for procedures like MRI scans, chemotherapy, cardiac tests, or surgeries. Tier 4: Custom Eligibility Verification Pricing: Custom Quote Ideal for: Multi-specialty groups, international insurance, or experimental treatment providers. Includes: Tailored eligibility verifications for complex situations, such as multi-payer coordination or non-standard treatments requiring specialized knowledge and extensive communication with payers.

Streamline your billing and enhance patient satisfaction with our structured eligibility verification services, designed to suit the unique demands of your practice and patient care services.

Pricing: See above