When a patient calls to schedule an appointment, your team collects all the essential information such as insurance details and benefits for billing later. !

After the visit, your team assigns the appropriate procedure codes and prices to the patients account, estimates coverage and bills the patient. 

Once insurance processes the claim, they'll send a payment to your practice where your team has to decode, apply the payment, and write off any adjustments. 

Before the appointment, staff will check the patients eligibility and verify necessary procedures are covered as well as if pre-auths are needed. 

Once the claims are coded, they send off the claim to insurance with necessary documentation in hopes of maximum payment. 

If your estimate was off, your team has to follow up with the patient to collect the balance, explain the difference in quoted fees and try to make payment arrangements.