Claim Submission

Medical Billing Professionals will enter your data, transmit your electronic claims and submit your paper claims. In addition, as part of the PremiumPlus Service, MBP will post all insurance and patient payments.

• Medical Billing Professionals will submit your claims for only $2.89 per claim.
• OR prepay to reduce your fee as low as $2.19 per claim with our Annual Prepayment Options:

• • 1000 claims for $2590.00 ($2.59 per claim)
  • 2500 claims for $5475.00 ($2.19 per claim)
  • NOTE:  Under the Annual Prepayment Options, providers must use the number of claims submitted within one year of the date of purchase.
    • For providers who purchase a prepayment option when they first sign up and receive free claims as a promotional special, the one year time period begins to run after the months of free claims.
    • EXAMPLE:  Provider signs up and purchases a 1000 claim prepayment option on June 1st and receives 2 months free.  The one year time period begins to run on August 1st.  Any claims remaining that are not used by the following August 1st are lost as the prepayment option will have ended on July 31st.
    • For providers who purchase a renewal of a prepayment option, the one year time period begins to run the date your office runs out of claims under your current option.  EXAMPLE:  Your office is submitting claims under a 1000 claim prepayment option.  On June 1st you purchase a renwal as you are running out of claims.  Your office submits the last claim under the original prepayment option on June 7th.  The one year time period begins to run on June 7th and thus the claims purchased must be used by the following June 6th or be lost.

Optional Services:

• Insurance Verification Service:
  • For new patients and for patients who change insurance, MBPros can verify eligibility and benefit information.  Benefit information returned will include:
    • The effective date of the policy
    • Deductible (including amount remaining)
    • Any copayment or coinsurance
    • Out of pocket max (including amount remaining)
    • If prior authorization or a referral is required.
    • If you need to know if a specific code is covered (such as 90847 or psych testing codes like 96130, 96132 or 96136) let us know when you request verification for a patient.
  • Fee:  $7.95 per verification
• On-Demand Follow-Up Service:
  • To help providers minimize their expenses but to improve their accounts receivable, we can follow up upon request on any claims that deny in error or remain outstanding more than 30 days after submission.
  • Only 2-5% of claims will require follow-up depending upon your practice (for mental health practices, it will be 2-3% of claims)
  • To request follow-up on any denied claims or claims that remain open after 30 days simply complete a simple on line form.
  • Fee:  $12.95 per claim actually followed up upon.
    • Again, very few claims will require follow up so you will only pay for those claims where you request follow up.
• Calculate Your Fee and Save!
  • Are you currently using a billing service charging a percentage?  Or maybe you just want to know what it will cost you monthly if you use our PremiumPlus Service with the optional insurance verifications and optional on-demand follow-up service.
  • We have a simple form you can use to calculate your average per-claim cost, your monthly cost, and how much you can save by using our PremiumPlus Service compared to a billing service charging a percentage.
  • Just go to http://www.mbpros.com/save to calculate your savings!

FAQ about On-Demand Follow-Up Service

• How do I know which claims require follow-up?
  • For claims that deny in error on an EOB we will create a ticket in our Support Suite to notify you.
  • For claims that remain outstanding more than 30 days after submission:
    • For our non-TherapyNotes clients we will provide you a Primary Insurance Aging Report broken down by payer, then by patient, then by claim so you can easily follow-up on the open claims.
    • For TherapyNotes practices, we will provide you an Electronic Claim History Report showing all claims with a status of Sent that were submitted at least 30 days prior.
• Can I just send you an email asking you to follow-up on all claims?
  • No.  Just in case you did not provide us a copy of an EOB you don’t want to pay a follow-up fee on claims that may have been paid to you.
  • Providers do have to complete a simple form at http://www.mbpros.com/followup requesting that we follow up on the claims listed.
• Shouldn’t I just use a billing service that automatically follows up on claims and I pay them a percentage?
  • NO!  You will overpay.  Most billing services charge a percentage of the amount paid by insurance (usually 7%).  Because follow up is needed on only approximately 3-5% of claims, you are overpaying on the 95-97% of claims that do not require follow up.  Plus remember we can provide the exact same services as a billing service charging a percentage by you utilizing our On-Demand Follow-Up Service.
  • Take the “Save with MBPros” Challenge!  Go to www.mbpros.com/save where you can calculate your average per claim fee by using MBPros with our Insurance Verification and On-Demand Follow-up Services AND you can calculate your savings by switching to MBPros!!

Claim Submission Guarantee:

• MBP guarantees that your claims will be submitted accurately by the next business day at the latest. For more information on our Claim Submission Guarantee, click here.
• For TherapyNotes practice, MBP will log into your TherapyNotes practice and submit claims on a daily basis (business weekdays, not weekends or holidays).

Money Back Guarantee:  For information on our 60 day money back guarantee, click here .

Accounts Receivable Posting

For PremiumPlus Service providers, MBP will post payments from insurance companies and from patients in our system or in TherapyNotes.

• Reports, Reports, Reports: For providers enrolled in the PremiumPlus Service, MBP will email you for free each month the following reports.
  • Collection Analysis Report.PDF
  • Collection Statistics Detail – Year To Date.pdf
  • Financial Statistics – Year To Date.pdf
  • Flash Report – Year To Date.pdf
  • Primary Insurance Aging by Last Bill Date.pdf
  • Note:  The above reports are not available to TherapyNotes practices where we are billing inside of TherapyNotes.
• On a monthly basis MBP will e-mail providers all Patient Remainder Statements, which you can review and send to your patients.

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:

• Behavioral/Mental Health
  • Including, but not limited to, psychiatry, psychology, and Nurse Practitioners and Licensed Clinical Social Workers billing for behavioral/mental health
• Chiropractic
• Physical Therapy
• Occupational Therapy
• Pediatrics

How to Provide Billing Information to MBP

» The primary way providers submit patient demographics and billing information is by completing our Online Patient Form and Online Billing Form, which can be accessed under the Online Forms tab at the top of this website.

» For providers using one of our EMR Preferred Partners (TherapyNotes, ICANotes, PracticeFusion, ChiroTouch,  or WebPT), MBP will obtain all necessary billing information from the EMR program.  NOTE:  For TherapyNotes only we can submit all billing insider of TherapyNotes!

Premium Service

» If you are looking for outstanding claim submission, but do not require accounts receivable posting (posting of insurance and patient payments), consider our Premium Service for as low as $1.75 per claim.  For more information on our Premium Service, click here.

Better Service

• 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 $99.95 per month for claim submissions applies for providers under the standard per-claim option.