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Billing Services

Packages

Standard Package

This package includes:

  • pre-claim audit

  • claim submission

  • payment reconciliation

  • continuous and timely follow-up on unpaid claims

  • monthly account reports

  • patient statements

  • claim appeals

  • secondary claim submission

  • insurance portal support

  • ERA and EFT enrollment

Premium Package

This package includes everything in the standard package as well as:​

  • Client insurance verification and eligibility checks​

    • First of the year eligibility checks for all active clients.​

    • Florida clients only: we complete Medicaid eligibility checks on the first working day of each month to ensure your clients are still active.

  • Ongoing administrative authorization support includes:

    • Monthly notifications of whose authorization is expiring soon, and which forms (if any) will need to be completed by the clinical team.​

    • Submission and follow-up of authorization requests with insurance companies.

Our fees are based on a percentage of the amount collected.* We do not require any money upfront, and the agreement is on a month-to-month basis. We also offer reduced credentialing fees for our active billing clients. Contact us today for a personalized quote. 

*Florida clients only: we charge a flat monthly rate, per client, for Florida Medicaid clients as required by AHCA to remain in compliance. 

Spectrum ABA Billing is an approved Florida Medicaid billing agent!