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. 

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Spectrum ABA Billing is an approved Florida Medicaid billing agent!