Primary Billing to Governmental, Managed Care, and Commercial Payers
HBCS’ flexible, web-based billing application accepts all file formats — including print images and non-standard formats — and converts them into an 837 compliant format for submission.
All claims are reviewed against standard industry edits (ANSI, CCI, and LMRP), individual carrier edits, and your custom edits. If errors are identified, we re-submit the claim within 24-48 hours to ensure the highest possible claim validation and clean claim submission rate.
We’ll also re-submit any rejected claims within hours of electronic response from insurance carriers… and help prevent future problems by sending you detailed monthly reports on the root causes of rejections.
Billing secondary insurance carriers can be both time- and labor-intensive. That’s why we expedite the process by combining electronic automated claims with a national standard explanation of benefits, where appropriate.
Government Program Billing
HBCS’ on-line Medicare billing application allows claims to be submitted hourly to intermediaries (MAC). Edits (including CCI and LMRP) can be made within hours after submission, which helps prevent billing errors, ensures a compliant audit trail, and reduces the Medicare front-end claim process by up to two days.
Workers’ Compensation/Auto Insurance Billing
Our highly trained staff is well versed in the requirements for these types of claims. What’s more, our front-end processes enable claims and supporting documentation to be submitted together, which prevents processing delays.
Our billing application transmits 837I and 837P claim files in a 5010 format, and 835 payment remittance files can be retrieved in 5010 format.