PremiumPlus Medical Billing Service

Claim Submission

Medical Billing Professionals will enter your data, transmit your electronic claims and submit your paper claims. In addition, as part of the PremiumPlus Service, MBP will post all insurance and patient payments.

» Medical Billing Professionals will submit your claims for only $2.79 per claim.

» OR prepay to reduce your fee as low as $2.05 per claim with our Prepayment Options:

  • 1000 claims for $2450.00 ($2.45 per claim)
  • 2500 claims for $5125.00 ($2.05 per claim)

Claim Submission Guarantee: MBP guarantees that your claims will be submitted accurately by the next business day at the latest. For more information on our Claim Submission Guarantee, click here.


Money Back Guarantee:  For information on our 60 day money back guarantee, click here .


Accounts Receivable Posting

For PremiumPlus Service providers, MBP will post payments from insurance companies and from patients in our system.

» Accounts Receivable Posting allows MBP to track your open claims for easy follow-up by you with insurance companies. In addition, Accounts Receivable Posting will allow you to properly bill patients for any remainder balances they may owe.

» Providers who enroll for the PremiumPlus Service receive Free monthly access to their data on our Medisoft Network**.

» Reports, Reports, Reports: For providers enrolled in the PremiumPlus Service, MBP will email you for free each month the following reports. Click on the report name to see more details about each report and a link to download a sample of the report:

  • Collection Analysis Report.PDF
  • Collection Statistics Detail - Year To Date.pdf
  • Financial Statistics - Year To Date.pdf
  • Flash Report - Year To Date.pdf
  • Primary Insurance Aging by Last Bill Date.pdf
  • On a monthly basis MBP will e-mail providers all Patient Remainder Statements, which you can review and send to your patients.

  Authorization Tracking:

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

  • 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 plans 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:

  • Fee:  $29.95 per month


Specialties Served

     Our knowledge and experience with billing for certain specialties helps to maximize reimbursement and decrease claim denials.  Because of this, MBP limits the specialties we serve to the following:

  • Chiropractic
  • Physical Therapy
  • Occupational Therapy
  • Pediatrics
  • Behavioral/Mental Health
    • Including, but not limited to, psychiatry, psychology, and Nurse Practitioners and Licensed Clinical Social Workers billing for behavioral/mental health

How to Provide Billing Information to MBP

» The primary way providers submit patient demographics and billing information is by completing our Online Patient Form and Online Billing Form, which can be accessed under the Online Forms tab at the top of this website.

» A second way to provide information is by sending SECURE email. You then can either attach a computerized file or simply in the bottom of the email provide patient and billing information. Because of HIPAA, you cannot send unsecure e-mail with patient demographics and billing information.

» For providers using one of our EMR Preferred Partners (EZNotes or WebPT), MBP will obtain all necessary billing information from the EMR program.

» Your office can fax to us any forms you may have. HOWEVER, these forms cannot be handwritten. They must be either typewritten or computer-generated.

Premium Service

» If you are looking for outstanding claim submission, but do not require accounts receivable posting (posting of insurance and patient payments), consider our Premium Service for as low as $1.55 per claim.  For more information on our Premium Service, click here.

 

Better Service

» NO computer is needed for our PremiumPlus Service (except for providers wanting access to our Medisoft Network)

» NO contract to sign (except a Business Associate Agreement per HIPAA regulations)

» Real-time access to your data is available via our Medisoft Network to allow you to run reports, print patient statements and utilize the Office Hours Professional Appointment Scheduler and Encoder Pro Coding Software.


*Copies of claims provided to provider or third party at provider's request count as a submitted claim. Minimum fee of $99.95 per month for claim submissions applies for providers under the standard per-claim option.

**Providers must own a licensed copy of Medisoft for access to their data. If you do not own a licensed copy of Medisoft, you can purchase Medisoft Basic for $499 to fulfill licensing requirements.