Getting Started

• Super Bills
  First we make sure that your super bill/encounter form has the information needed to submit a claim.

• Fee Schedules
  In order to ensure that you receive proper payment from insurance companies it is vital for us to have your fee schedules for the networks you participate in.

• Batching Your Billing
  For each patient seen, your office will gather the Super Bill, a copy of the front and back of the insured’s insurance card and a copy of the patient’s information sheet.

What We Do For You

• Deliveries
  Billing is picked up by messenger (at our expense) or sent by federal express one to two times a week. Additional pickups can be scheduled at your discretion.

• Data Entry
  Once your delivery is received, patient data and billing is entered within five business days.

• Filling Claims
  All claims are filled through a clearinghouse that submits claims electronically or “drops” them to paper forms and mails them to the insurance company.

• Payments
  When an Explanation of Benefits is received the payments and contractual adjustments are applied to the corresponding patient's account. For some major carriers MedSurg is able to download payments directly into our system. This provides for efficient payment processing.

• Accounts
  Follow-Up If the insurance company does not send a notification of payment or denial, then we contact them. In addition, we will contact the hospital for a patient’s insurance information if necessary.

• Statements
  Patients are mailed statements at the beginning of each month. The protocols of statements and collections are done specifically to your specifications.

• Appeals
  In instances where MedSurg receives an incorrect payment or a denial by an insurance company, we follow an appeals process to ensure you receive the correct reimbursement for your services.

• Reports
  At the end of each month MedSurg will send you reports regarding the status of your practice. Because each practice is different, we customize our reports for you.