Q. Can you
submit electronic claims to all insurance companies?
Most commercial insurance companies, as well as Medicare and BC/BS, accept
electronic claims. However, there are still some companies that are not set up
to receive electronic submissions. In these cases the claim will be changed to
a paper submission and sent to the insurance company. We can also send claims
directly from our office on CMS 1500 forms.
Q. Do you send statements to
patients?
Yes. We can send patient statements
after primary and secondary insurance payments have been made. We will also
follow up with patients on outstanding balances with friendly reminder notes.
Q. How are claims and
patient information sent to your office?
In most cases new patient information and claims can be faxed to our office on a
daily basis. For clients out of the area we provide an 800 number. The client
may prefer to send claims via regular mail, or overnight, on a regular
schedule. For clients in our area we will be happy to pick the information up
at your office.
Q. Can you handle clients
anywhere in the country?
Yes. Since most transactions occur over the fax, computer, and mail, the client
can be anywhere in the country. Regardless of where your office is, a Western
Professional Claims representative will schedule periodic meetings to discuss
any issue you feel is important.
Q. Where are reimbursements
sent?
All reimbursements are sent to the client's office. The client will then send
us a copy of the EOB so that we can post payments and follow up on
denied/rejected claims. As part of our additional A/R services, some clients
have chosen to have our office receive payments and make deposits for them.
These options can be discussed with you by our representative.
Q. What reports do you
provide?
We will provide regular monthly reports including Accounts Receivable, Aging,
Practice Analysis, and Patient Detail. We can also provide many other reports
depending on your specific needs. For example, we can provide reports that
track managed care contracts or the activity of individual providers
