Services Offered
Filing Claims
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¤ Claims are submitted
to the insurance carrier
either electronically or on
paper (determined by the
carrier).
¤ Secondary
claims are prepared and sent
upon receipt of the primary
carrier response.
¤
Claims are sent to
any carrier that
accepts the CMS1500
which is the
industry-standard
claim form
(Commercial,
Medicare, Medicaid,
Worker's
Compensation,
Personal Injury,
etc.) |
A/R Recovery on
Unpaid or Improperly Paid
Insurance Claims Billed by
PMEB
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¤ Claims
are reviewed for payment
approximately 45 days after
submission. This allows for
insurance processing and
mail delays.
¤ A/R
recovery is achieved through
phone calls and
re-submissions to the
insurance carrier.
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Consultation
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¤ General Advice
¤ Offer Suggestions
¤ Basic Research
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Feel free to
ask any questions
Give us a call at
281-671-1500 |
Patient Billing as
Directed by the Provider
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¤ Up to three
patient statements are sent
to the patient.
¤
With no response from the
patient the fourth statement
is typically returned to the
provider and identified as
bad debt.
¤ Patients
that are paying on account
balances will continue to
receive patient statements
until the balance is paid in
full
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Review Codes and
Fees
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¤ Basic review
for minimum Medicare
and general carrier
allowables versus
the provider's
current fee
schedule.
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While reviewing
claims to be
entered, the PMEB
staff will check for
appropriate
procedure and
diagnosis coding.
For any
discrepancies the
provider's office
will be notified.
When possible,
suggestions will be
made for correct
coding. |
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