Max, The Process:
Okay, so you've signed an agreement and provided the information needed to complete your provider file . . . NOW WHAT? The facility contact person is very important, they will be the liaison between the CLIENT and MAX. Chances are they will also process all reports and pre-process invoices for approval.
The LIAISON will collect the billing forms, insurance information received, medical record requests or anything else that pertains to claims, and get them ready to deliver to MAX, at the minimum, weekly. Delivery may be accomplished in several ways; a driver can bring information to MAX and take back information to ASO or the ASO may utilize the services of UPS for pick up and delivery coordination. MAX will set up the account for weekly transfer of information. MAX is responsible for these costs. This would be appropriate for every week EXCEPT final reporting for month end closing. An extra pick up and delivery is required for last pick up of the month which should include the last day of the month's deposited insurance and self pay receipts. This would be the first working day of each month to allow for complete month-end closings and accurate invoice processing.
MAX verifies eligibility on each claim presented. Claims are typically processed within 48 hours of receipt. This includes eligibility verifications for primary and secondary coverage. Legible run sheets are imperative. It is preferred to have printed run sheets . Carriers also prefer these printed run sheets as attachments. Month-end reports are submitted as close to the first of each month as possible. This report details all payment remits received and verified as paid and posted; all active claims received during the reported month, refunds needed, special requests for financial consideration, and closed claims.
Self-pay billing is processed as close to the first of each month as possible. The MAX telephone number is listed as contact resource on each self-pay bill. The MAX mailing address is listed as mailing resource on bill. Three monthly statements are sent to each patient unless there is a returned mailing. Collection attempts include but do not exclude other avenues, research of all available billing for information, and includes telephone calls for clarification of information or to locate party. MAX is not a licensed collection agency but we do make every available effort to locate party, contact party and obtain accurate insurance information, or make self pay agreement arrangements. We will also work closely with your contracted collection agency. This is a just a brief explanation of the MAX process.
Contact Information
MAXimizeBilling Office Phone: 215-368-7350 Facsimile: 215-368-7353
Office Toll-free: 877-731-5464
Toll-free Facsimile: 800-234-1627
E-mail: MAXbilling@verizon.net
MAXimize is a very down to earth company with a relaxed but productive work environment that promotes uniqueness, creativity, and dedication to supplying quality services to all customers.