has created a unique system, that has taken more than a year to
develop, it is unique in the industry because you, the client is
always in control of your accounts and will know what is the status
of each individual account 24/7, even if you are 1500 miles away.
Once you log in to your 128 bit
secured account you have the following options:
a) Main page: On this page
you will be able to see:
1) Major updates and/or news targeted to all clients in
2) Your balance owed, and the option of paying securely
3) Viewing your profile, (Address, phone numbers, EIN,
4) Sending private messages to the claims analysts or
administrators regarding your accounts and or concerns.
b) Claim Submission (SurgbillDirect™):
On this portion of your account, you will be connected via Microsoft Terminal
Services® directly to our servers in our offices and be able to log
in to our software (Medisoft Network Pro®) in real time to input
patient demographics and/or print comprehensive reports regarding your practice.
This system has been audited for HIPPA compliance and is completely secure with
a 128 bit encryption and several levels of security.
c) Claim Status*: Here all
of your individual accounts are listed by Month, and on each account there will
be the following information:
1) Date when documentation was submitted
2) Date when the claim was processed
3) Date when the claim was sent
4) Any documentation received from payors, such
as OP report or W9 requests, denials, etc.
5) Any follow-up that we have done on that
6) Any appeals done on that account and the
results of that appeal.
7) Any payment received on that account
8) You can even check status of your
individual claims on your internet enabled mobile phone. (html, xhtml and wap
enabled phone devices)
Claims that have been paid will be listed but will be closed, where no more
posts will be allowed on that specific account.
* This information is not in
real time, it will be posted within 48-72 hours of action taken, we believe that
this option will be phased out in the near future (second quarter of 2008), and
you will be able to obtain this same information from Medisoft®
reports through SurgbillDirect™
and these will be in real time.
d) Account Status: On this
portion you will be able to see and print your invoices, the invoices will list
each account individually and the payment that was made, along with our fee
No more trying to figure out if
a claim has been billed and if the billing company has received any response
from the payor, with our system you will know exactly where each account is at.
a) You submit all the
patient demographics and all related documentation to be able to
submit the claim.
b) We process and send the claim within 72 hours of received
c) We wait 60-90 days for response from payors.
d) Any documentation request or request to settle will be handled
e) If no response from payor within 90 days, we will begin the
follow up process with the payor.
f) Any denial that deems an appeal will be appealed appropriately
and in a timely fashion. (Not all appeals are appealable)
g) Once we receive payment from primary payors, secondary payors
will be billed if necessary.
h) If no secondary payor is on file, we will close the account.
(Patient billing will be on a client by client basis)
i) Reimbursement checks received will be mailed to you via Priority
Mail with signature confirmation. Once a week if amount is $1000.00
or more, bimonthly if amount is less than $1000.00.
j) Because we submit your claims with your information and your W9,
all checks will come to your name, Surgbill, Inc. does not have
access to your funds whatsoever.
k) At the end of the month we will invoice you for our fee, payable
on the 10th of each month.