When a physician or healthcare provider renders medical services to a patient they are entitled to be reimbursed. Collecting these moneys due is the medical biller's job. After each healthcare appointment the medical biller reviews the super bill or encounter forms attached to the patient's record to establish which services were provided. Next they re-check the patient's insurance coverage and note the name of the health insurance company. Finally, they prepare proper invoices and submit the claim.

Integral Healthcare Consulting will send the practices claims to the insurance company, via electronic processing or we may have to drop the claims to paper (PIP and WC). Once the insurance company processes the claims, they will cut a check or send a denial to the practice. The practice then sends the EOB to Integral Healthcare Consulting (via scan or fax) and we input the payments into billing. If the claims are denied, we review the EOB and decide the course of action, which we should take on the matter. Additionally, twice a month, Integral Healthcare Consulting follows up on all open line items, which are over 30-days. We will send the detailed spread sheet to the practice, in addition to noting the pertinent issues within the email. Additionally, the practice has access to Integral Healthcare Consulting, via real time IM’s, for any pertinent issues.