How does Apex receive the patient information needed to submit medical claims for payment? The practice enters the administrative information into our software program and then chooses to scans the documents into the patient’s medical record or faxes the information to our office. If the need should arise for additional information for a claim to be processed, Apex will contact your staff.
How are payments received and posted? Apex does not handle checks directly. Normally, the provider receives payment as a direct deposit directly from the insurance company. Apex will set your practice up to receive your payments and remittances electronically for all participating insurance carriers. Insurance companies that do not allow for electronic funds and remittance require the practice to send a copy of the Explanation of Benefits to Apex in order to credit the patient's account. Patient payments are mailed directly to the practice and a record is sent to Apex to post the payment into the patients account.
How does patient billing work? Normally, patient billing is triggered automatically when the EOB is received from the insurance company, assuming there is a balance due. If the claim is subject to contractual limits, Apex will credit the patient's account accordingly and bill for the balance. Apex then follows up on outstanding patient accounts at 30, 60, and 90 days in accordance with standard practice. How quickly will I be reimbursed?
Payment will be received, on average, between 14-21 days.
How often are my claims processed? Depending on the requirements of the practice within 24 hours of receipt or on a weekly basis.
What if patients call my office with questions about their claims? Since Apex will be responsible for tracking claims, refer your clients directly to your billing experts. Apex ensures excellence in customer service when handling patient inquiries and requests. We audit all patient statements prior to mailing and research any insurance denials or improper insurance processing before we bill your patient.
What are the fees for Apex's services?
Apex’s fees for medical billing services are based on a percentage of the gross amount collected for medical services. Fees are dependent upon the practice's volume of claims and any additional services that are contracted. Apex’s success is dependent upon the success of its clients so we strive to ensure your practice is efficient to maximize your revenue.
Interested in learning more about the services we offer and how they can impact your practice? To schedule a demo please call 571-285-3093.