Fees

Platinum Medical Billing Service

All of the following included for one low fee:

  • Claim Submission
  • Accounts Receivable Posting
  • Follow-Up of Outstanding Claims
  • Insurance Verification
  • Authorization and Benefit Tracking

For more information about the Platinum Medical Billing Service, click here.

  • Standard Per-Claim Service Fee:  $3.99 per claim (minimum fee of $199.95 per month)

  • Platinum Service Prepayment Options:

    • Purchase 1000 claims for $3690.00 ($3.69 per claim)

    • Money-Back Guarantee:  For information on our money-back guarantee, click here.

    • Note:  Providers who purchase a prepayment option and do not submit a minimum of 1 claim over a 2 month billing cycle shall have their accounts deactivated.  Providers may always reactivate their account upon payment of the $99.95 reactivation fee.


  Medisoft Network System:

  • Do you want to access your data 24 hours/day on MBP's Medisoft Network whereby you can view your data and run reports?

  • Providers must own a licensed copy of Medisoft in order to access Medisoft on our network.


  Set-Up Fee:

  • One-time set-up fee of $99.95

  • Set-up fee must be paid before MBP can enroll providers for electronic claims or electronic remittance advice.  Providers will be unable to submit patient information or billing prior to payment of the set-up fee.


PremiumPlus Medical Billing Service

  • Standard Per-Claim PremiumPlus Fee:  $ 2.79 per claim (minimum fee of $99.95 per month)

  • PremiumPlus Service Prepayment Options:

    • 1000 claims for $2450.00 ($2.45 per claim)

    • 2500 claims for $5125.00 ($2.05 per claim)

    • Money-Back Guarantee:  For information on our money-back guarantee, click here.

    • Note:  Providers who purchase a prepayment option and do not submit a minimum of 1 claim over a 2 month billing cycle shall have their accounts deactivated.  Providers may always reactivate their account upon payment of the $99.95 reactivation fee.

    • Medisoft Mobile Supplemental/Daily Fee:  For providers who use the Medisoft Mobile Service and request either daily submissions OR a supplemental weekday submission, a fee of $9.95 per submission (besides the per claim fee) will apply.  Note that NO SUBMISSION FEE applies for providers who choose the Weekly Submission Option under the Medisoft Mobile Service.  For more information about the Medisoft Mobile Service, visit:  Medisoft Mobile.

  • NOTE:  Fees for PremiumPlus Service include all accounts receivable posting:  insurance payments and patients payments.  Providers who cancel the PremiumPlus Service or downgrade to the Premium Service incur an Electronic Remittance Advice Cancellation Fee of $99.95.


  Set-Up Fee:

  • One-time set-up fee of $99.95

  • Set-up fee must be paid before MBP can enroll providers for electronic claims or electronic remittance advice.  Providers will be unable to submit patient information or billing prior to payment of the set-up fee.


Premium Medical Billing Service

  Claim Submission

  • Standard Per-Claim Service Fee:  $2.35 per claim (minimum fee of $69.95 per month)

  • Premium Service Prepayment Options:

    • Purchase 1000 claims for $1990.00 ($1.99 per claim)

    • Purchase 2500 claims for $3975.00 ($1.59 per claim)

    • Money-Back Guarantee:  For information on our money-back guarantee, click here.

    • Note:  Providers who purchase a prepayment option and do not submit a minimum of 1 claim over a 2 month billing cycle shall have their accounts deactivated.  Providers may always reactivate their account upon payment of the $99.95 reactivation fee.

    • Medisoft Mobile Supplemental/Daily Fee:  For providers who use the Medisoft Mobile Service and request either daily submissions OR a supplemental weekday submission, a fee of $9.95 per submission (besides the per claim fee) will apply.   Note that NO SUBMISSION FEE applies for providers who choose the Weekly Submission Option under the Medisoft Mobile Service.  For more information about the Medisoft Mobile Service, visit:  Medisoft Mobile.


  Medisoft Network System:

  • Do you want to access your data 24 hours/day on MBP's Medisoft Network whereby you can view your data and run reports?

  • The cost for Premium Service users is only $9.95 per month (providers must own a licensed copy of Medisoft for access to the Medisoft Network.

  • NOTE:  there is no network access fee for providers enrolled for the PremiumPlus Service.


  Set-Up Fee:

  • One-time set-up fee of $99.95

  • Set-up fee must be paid before MBP can enroll providers for electronic claims or electronic remittance advice.  Providers will be unable to submit patient information or billing prior to payment of the set-up fee.


  Payment Manager ERA Reports Option:

  • Search and view EOBs online with MBP's Payment Manager

  • Stop searching through stacks of paper EOBs.  For more information on Payment Manager, click here.

  • To view an online demo of Payment Manager, click here .

  • One-time set-up fee of $99.95  Set-up fee for Payment Manager is separate from your Practice Set-Up Fee listed above.

    • NOTE:  Providers who enroll for Payment Manager ERA Reports at the time of completing our Getting Started For shall pay a discounted set-up fee of $189.95 for both Practice Set-Up and Payment Manager ERA Reports Set-Up.

  • Set-up fee must be paid before MBP can enroll providers for electronic remittance advice. 

  • ERA Claim Fee:  19 Cents Per Claim (minimum fee of $24.95 per month)


Medisoft Network Basic Service

  Claim Submission:

  • 45 cents per electronic claim (mi    nimum fee of $79.95 per month)

  • 55 cents per paper claim

  •  Supplemental Claim Submission:

    • Claims are submitted on a weekly basis.  If your office requires a supplemental submission during the week, a supplemental submission fee of $9.95 applies besides the per-claim fee.


  Set-Up Fee:

  • One-time set-up fee of $99.95

  • Set-up fee must be paid before MBP can enroll providers for electronic claims or electronic remittance advice.  Providers will be unable to submit patient information or billing prior to payment of the set-up fee.


 Support:

  • MBP offers two support options for the software:  $24.95 per month for unlimited support through our Support Suite or $49.95 per incident.

  • MBP does not offer telephone support for the Medisoft Network.  All support is online via our Support Suite.

  • Support does not include training or data repair issues.  For any data issues, including possible corruption of data, you must purchase support from our Medisoft Reseller, JB Medical Management.


  Claim Scrubbing:

  • HIPAA Edits:  For only $7.95 per month the program will check to ensure that certain HIPAA required fields (such as birth date and relationship to insured) are properly populated.  For claims with errors you will receive a report of these claims so you can correct them prior to submission.  This reduces the number of denied claims, allowing you to get paid faster and allowing for more reimbursement.

  • Advanced Claim Scrubbing:  For only $19.95 per month the program will scrub the claims against CCI and Medicare Edits, CPT Edits and ICD edits.  This scrubbing will ensure you are using proper codes and modifiers.


  Downgrade Fee:

  • For providers enrolled in our Premium or PremiumPlus Service, a fee of $799.95 applies for providers who want to downgrade to the Medisoft Network Basic Service.


Fees For All Levels of Service:

  Online Rejection Reporting System:

  • MBP utilizes an online system of providing reports from payers and clearinghouses to notify payers when claims reject electronically. 

  • For our Basic Service Providers, the online system will also include claims that could not be submitted because they failed the HIPAA Edits or Advanced Claim Scrubbing (for providers enrolled for these options).

  • It is important to understand that when claims reject electronically they do not enter the payer's claim adjudication system.  So, if you tried to check with a payer as to claim status, the payer would have no record of the claim.

  • There is a required fee of $5.95 per month for this service (providers cannot opt out of being enrolled for the Online Rejection Reporting System).


  Supplemental Tax ID Numbers:

  • If your practice submits claims using more than one Tax ID number, a supplemental fee of $29.95 per month per additional Tax ID is charged.

    • Example:  Your office uses an EIN to send to most payers but you use the provider's personal Social Security number to submit to select payers.


  Additional Medisoft Network User Fees:

  • For practices with access to our Medisoft Network, your access is for one person to access your data.

  • If your office needs more than one person accessing accessing your data at one time, you can purchase an additional user license for $159.95.

  • In addition, there is a fee of $4.95 per month for each additional user accessing the Medisoft Network.


  Reports

  • For all reports that providers request MBP to provide, a fee of $5.95 per report is assessed.
  • There is NO fee for reports provided as part of the PremiumPlus or Platinum Service on a monthly basis.
  • There is NO fee for the Claim Submission Report automatically provided to all providers immediately after claims are submitted.

Authorization and Benefit Tracking:

  • Do you have claims deny because you do not have a valid referral or treatment plan on file?

  • Do you have claims deny because a patient has used their benefits for the year?

  • MBP's authorization tracking service will track the number of visits allowed under a treatment plan OR the end date of a referral to ensure you do not treat patients beyond the authorized number of visits or the end date of a referral.

  • On a weekly basis MBP will email you two reports showing you referrals and authorizations about to expire.  See the below examples:

  • MBP's benefit tracking service will track the number of patient visits allowed per year OR the maximum dollar amount allowed under the patient's coverage per year.

  • For more informatoin about the Authorization and Benefit Tracking Service, visit:  Authorization and Benefit Tracking

  • Fee:  $29.95 per month ( free for providers enrolled for the Platinum Medical Billing Service)

  • This service is not available for Medisoft Network Basic Service providers.