HIPAA 5010 Compliant for Medicare, Medi-Cal, Private Insurances and LA County Mental Health Department
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OUR SERVICES INCLUDES:

Insurance billing and follow up
  • Electronic Claims submission to most commercial Insurance Plans
  • Direct Electronic Claim submission to Medicare
  • Electronic claims submission to any HMO or IPA accepting electronic claims
  • Processing of Secondary Insurance claims
  • Extensive follow-up to ensure maximum reimbursement
  • Handling of all appeals, rejections and denials
  • HIPPA compliance
Patient services
  • Patient statements
  • Prompt response to patient inquiries
  • Bilingual employees to assist patient inquiries
Payment posting
  • Posting of all Insurance/Patient payments
  • Verification of proper reimbursement from HMO/PPO contracts
  • Patient billing of any residual balances
  • Monthly Insurance aging follow up
  • Monthly Patient reminder aging follow up
  • Collections at Provider request
  • Web access to many insurance companies.
  • EFT–Electronic Funds transfer directly to providers account
Contracting/ Consulting
TMBS will assist Clients (Providers) with management solutions such as:
  • Establish provider contracts
  • Enrollment of providers with payers and facilities
  • EFT – Electronic Funds Transfer
  • Billing fee analysis
  • Practice analysis