Frequently Asked Questions
1. What does Medi-Claim Services charge?
Medi-Claim Services offers an All-Inclusive Service Package that includes full charge entry, payment posting, insurance follow-up, and patient billing. See pricing structure for more information.

2. Is Medi-Claim Services HIPAA compliant?
Yes. Medi-Claim Services is fully completely HIPAA compliant.

3. What are the steps to get started?

Step I - Fill up our Provider Enrollment Form. We will need some specific practice information to get started such as: practice name, address, UPIN, Tax ID, provider numbers, fee schedule, insurance policy information, etc. Once established, we can usually start submitting claims within a few days.

Step II: We quickly deliver one phase so that we can together iron out any issues and improve the outcome.

4. Are there any start-up fees?
Yes, there is a one time set up fee determined by the needs of your practice.

5. Does Medi-Claim follow-up on outstanding medical claims?
Yes. We understand that apart from collecting claims, identifying un-collected claims and turning them into cash is a very important activity for the accounts receivable team. Our highly skilled AR team will generate Aging Reports where they will follow up on each & every claim which have passed a time frame of 40 days.

6. Do you follow a process while making appeals?
Yes. We follow the complete process of appealing as per the payer’s instructions. While signing any contract with a payer, we request the physicians to make sure that the claim appeal process is explained clearly. This helps us determine steps to be taken after a denial and consider steps for further action.

7. What if I don't have any billing software?
We can provide you with our comprehensive and easy-to-use billing software suite. We provide this free of cost.

8. Can Medi-Claim provide eligibility and claim status from insurance companies?
Yes. Medi-Claim provides electronic eligibility and claim status.

9. What happens with insurance carriers that do NOT accept electronic claim submissions?
Most major carriers allow electronic claims submission. For those that do not, we will print your claim on a standard "CMS 1500 form" (old/new as per Carrier Instructions) and mail it to the carrier at no extra charge to you.

10. What type of practices does Medi-Claim usually work with?
Our medical billing services are flexible enough to work with just about any practice of any size. Our streamlined delivery model enables us to adapt to your needs. If you are single physician practice, or have several offices with a team of providers, we can customize a medical billing solution to your needs.

11. What medical billing software/clearing house do you use?
We use the industries most used billing software offering - Medisoft & have partnered with Claimlogic as our clearinghouse.

12. How will Medi-Claim receive my information for daily claims generation?
We will provide you with a US fax number; we also accept billing information by email or direct upload to the software. Either way, we keep your claims current and generated within 24 hours.

13. Where do payments go when claims are reimbursed?
All payments are deposited into your account. We request that you send us a copy of the EOB or verification of payment so that our records can be kept up to date for patient invoices and adjustments, but you retain complete control of your money at all times.

14. Does Medi-Claim assist patients with billing inquiries?
Medi-Claim takes a detailed, customer service approach to assisting with billing questions. We know the impression we leave with your patients makes an impact on their impression of your practice. We provide a team of specialized customer care professionals to respond to billing inquiries. As part of our standard service, there is no additional charge to you for our in-depth customer support.