Premium Medical Billing Service

Claim Submission

Medical Billing Professionals will enter your data, transmit your electronic claims and submit your paper claims.  This level of service is designed for out of network practices that only need claims submitted but do not require insurance verifications or follow-up of outstanding or denied claims.

• Standard Per-Claim Rate:
  • $2.49 per claim (minimum fee of $69.95 per month)

Claim Submission Guarantee:

• MBP guarantees that your claims will be submitted accurately by the next business day at the latest.

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:
  • 14_Day_Future_Expired_Treatment_Authorization_Worksheet.pdf
  • Expired_Treatmen_0Authorization_Worksheet.pdf
• 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

• For practices not using TherapyNotes, Sessions Health or Jane App, you will complete secure forms on our website.
  • For any new patients you will complete an Online Patient Form.
  • For the billing you will complete an Online Billing Form where you can list up to 15 patients on one form.

Better Service

» NO computer is needed for our Premium 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.

*Copies of claims provided to provider or third party at provider’s request count as a submitted claim. Minimum fee of $69.95 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.