How does a medical billing service work?
Your staff sends patient details like insurance, diagnosis, procedure codes to the medical billing service. They check the data for any errors and submit the claims to the clearinghouse. If the claim is approved, you receive the check and explanation of benefits (EOB). The checks can also be directly deposited to a bank lockbox for faster processing. Rejected claims are returned to you so that any errors may be fixed and claims resubmitted. In some cases when the claim is problematic, it is the responsibility of your service provider to troubleshoot and resubmit the claim. Hence it is important to ensure that medical billing service provider has adequate staff to diagnose and fix such problems.
