Medastin understands change and we intend to make the transition to our service as seamless as possible. Before starting, our representatives will spend as much time in your office as is necessary to ensure a smooth transition.
The following is an example of the typical billing process Medastin provides their practices:
- Medastin receives completed superbill, patient information and necessary documentation to file a claim.
- Claim will be reviewed for correct data and documentation before submittal to insurance carrier to confirm the claim is processed correctly and efficiently the first time.
- Depending on the insurance carriers requirements, claims will be submitted electronically or by paper with necessary documentation attached.
- In a perfect world, claims are paid in their entirety and mailed to the practice for deposit along with Explanation Of Benefits (EOB).
- The EOB will then be forwarded to Medastin so payments and adjustments can be applied to the correct account.
- Patient billing statements will be batched for print if the insurance carrier allows an amount over what is paid to the practice.
- For whatever reason given, some claims are reimbursed below fee schedule. Medastin will take appropriate action in appealing on your behalf in collecting what the practice is entitled.
- If an EOB has not been received after 30 days of submittal, Medastin will contact the appropriate insurance carrier to track the claim and guarantee appropriate payment.
- When applicable, secondary and tertiary claims will be sent to the insurance carriers with previous EOB attached explaining what has been paid on the account.
Please keep in mind, as a fully managed billing service Medastin has the ability to develop a customized billing process that will meet all demands of your practice. The above bullet points are standard billing procedures; however additional information will be reflected by the specialty of your practice.