PlatinumPlus Mental Health Billing Service

This level of service is designed for TherapyNotes practices only.

Our PlatinumPlus Mental Health Billing Service includes all of the features of our Platinum Service PLUS adds the below:

Patient Communications

• If a patient’s claim denies because coverage has terminated or eligibility has not been found, we would do the following:
  • Send the patient a new Client Insurance Form in the Portal.
  • Message the patient through the portal notifying the patient to complete the new Client Insurance Form.
  • Attempt to call the patient to advise the patient to complete the new Client Insurance Form.
  • Add an Appointment Alert to the patient’s next scheduled appointment in TherapyNotes to the provider can easily see that the patient must provide updated insurance information.
    • Note:  If the patient DOES complete a new Client Insurance Form prior to the next scheduled appointment, we then will remove the Appointment Alert.

Review of AutoPay Payments

• If your office is enrolled in the AutoPay feature in TherapyNotes, each day we would review any AutoPay charges that have been declined.
• For those that have declined, we will send a message from within the portal to the patient.  Note we will NOT call the patient about the declined credit card charge.
  • If the patient does not respond within 7 days we will send a second message.
• In addition, we will add an Appointment Alert to the patient’s next scheduled appointment advising about the declined credit card charge to the provider may address with the patient.
  • If the patient does take care of the declined charge prior to the next scheduled appointment we will remove the Appointment Alert.

Expiring Credit Cards

• In addition, for credit cards on file that are due to expire this month or next month we will send the patient in the portal a new Credit Card Auth Form to complete AND we will message the patient about this.
• If the patient fails to respond within 7 days we will send a second message.
• We will also add an Appointment Alert to the patient’s next scheduled appointment so the provider can address the expiring credit card with the patient.
  • If the patient completes a new Credit Card Auth Form prior to the next scheduled appointment we would remove the Appointment Alert.

Features of the Platinum Service

• Besides the above services being included with the PlatinumPlus Service, the PlatinumPlus Service will include all features of the Platinum Service including:

Claim Submission

• MBPros will enter your data, transmit your electronic claims and submit your paper claims.
• We guarantee that claims will be submitted accurately by the next business day.  For more information on our money back guarantee, click here.

Accounts Receivable Posting

• MBPros will ensure your office is enrolled with all possible payers to receive Electronic Remittance Advice (ERAs)

• On a daily basis we will review and post the ERAs.
• For any EOBs your office receives that do not appear as ERAs we will manually post the EOBs you provide us.

Follow-Up of Outstanding Claims

• For any primary claims that we have submitted that remain open at least 30 days after claim submission, MBPros will aggressively follow up on the claims to determine why the claims have not been paid.
• For any claims that have been improperly denied by payers, MBPros will follow up with the payer to have the claim processed correctly.
  • EXAMPLE:  A payer denies a claim because of no referral or no treatment plan approval but you do have a referral or treatment plan approval for the denied date of service.  We will contact the payer to reprocess the denied claim.

Insurance Verifications

• For any new patients AND for patients who change insurance we would verify patient insurance benefits*.  Benefit information obtained will include the following:
  • Copay and deductible information
  • Limits on benefits for the year (either number of visits or dollar amount limit)
  • If pre-authorization or a referral is required
  • If claims are sent to a third party payer for processing (such as Magellan Behavioral Health or Carelon Behavioral Health
• There is a limit of 60 insurance verifications done within the billing month.  For verifications performed by MBPros in excess of 60 during the billing month, you are charged $11.95 per excess verification.
• For existing patients who have the same insurance where you want to know if coverage is still active or if the patient has met his/her deductible or out of pocket max for the year OR if you want to know if benefit info has changed for a new year, you can take advantage of our optional verification service by completing a form at http://www.mbpros.com/verify.  The fee for this optional service is $11.95 per verification.
  • Again for this optional service it is only for patients who have the same insurance where you need to know if coverage is still active or if benefits have changed or if you want to know if the patient has met their deductible or out of pocket max.  For NEW patients or patients who change insurance, we can verify and the fee is included in your per-claim rate (limit of 60 per month).

PlatinumPlus Service Fees

• 0-499 claims per billing month:  $4.99 per claim (minimum fee of $249.95 per month)
• 500 or more claims per billing month:  $4.59 per claim

Introductory Special Offer for TherapyNotes Users for the PlatinumPlus Service

• First Two Months Free (limit of 100 free claims/month)
• Save 10% off the standard rate for the first year!
  • • 0-499 claims per billing month:  Pay only $4.49 per claim
    • 500 or more claims per billing month:  Pay only $4.13 per claim

• For details on the introductory special offer for TherapyNotes practice for our Platinum Service and our PremiumPlus Service, visit http://www.mbpros.com/therapynotes

Using a Billing Service Charging A Percentage?

• Most billing services charge a percentage of the amount paid by insurance (6-10%).  If you are using such a billing service, STOP throwing your money away?
• Our Platinum Mental Health Billing Service provides all services (and more!) that a billing service charging a percentage provides but we charge significantly less!
• Check out the References page on our website to see more than 50 practices nationwide who have been using our service for years and would recommend our services!
• See how much you can save by completing our interactive form at www.mbpros.com/save

*Limit of 60 verifications per billing month.  Any verifications done in excess of this per billing month are charged $11.95 per verification.  Follow up of claims is limited to primary insurance claims submitted by MBPros and does not apply to secondary claims.