Med Bill Assist
Negotiating with insurance and physician on the patient's behalf
MBA is a subsidiary of Netprophets Medical Billing, a established healthcare billing and coding agency. At MBA, we are advocates for the patient, contacting insurance carriers, correcting data, appealing denials, negotiating medical bills, and simply "making sense" of healthcare billing for the patient.
The typical Medical Office today is no longer able to assist the patient with his or her medical insurance and bills. They make it quite clear the burden has been put back on the patient.
Very often we are "welcomed" with signs that state:
"KNOW YOUR INSURANCE! "
"PATIENTS WITHOUT A REFERRAL WILL BE TURNED AWAY"
"REGARDLESS OF INSURANCE, YOU ARE RESPONSIBLE FOR PAYMENT OF YOUR BILL!".
These messages can be daunting to the patient who is unfamiliar with the requirements of their coverage. Quite often, the patient's coverage changes from year to year, and when they have just about figured out the coverage, the employer changes to a new carrier. That is where we come in. We have over 25 years experience working on both sides of this issue, in health claim submission & health claim payment. We know the so called "tricks of the trade", as well as the ever increasing government regulations and cutbacks.
At MBA, we are the advocate for the Patient Only. We will take whatever steps are necessary to help you have you medical bills paid by the Insurance Carrier,and fairly negotiated with the Medical Provider.
A sample of the services we offer are:
- Multi- level Claim Appeals
- Out of Network Reimbursement
- Correct Coding assistance
- Referrals discrepancies
- Coverage verification
- Explanation of Contracts, Covered services
- Explanation of EOBs (explanation of Benefits)
- Explanation of Medical Bills
- Calls,fax,letters to Medical Provider to correct claims or bills.
- Secondary/Private claim submission
- Estate/Executor of will assistance with settlement of medical bills.
- Balance bill Negotiations or payment arrangements with Provider
- Challenge Collection activity
- Attorney/Court assistance
- Calls,fax,letters to carrier to correct claims
- Cobra enrollment and subsidy eligibility
- Choosing the right health plan
Our Fees are based on an hourly rate. Please submit a brief explanation of your needs so we can provide you with an estimate for our services.
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