Helping Hands For Your Practice


FAQ

How does TRI MED SOLUTIONS differ from other "medical billing" sellers in the market place?

TRI MED SOLUTIONS   offers billing, collections and complete office automation services to physicians.  Through this association we have developed a vast understanding of the healthcare environment and can offer our lowest fees without sacrificing quality

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How do we get the necessary information to you?


    *  Standard Mail - just place your documents into a secured envelope and mail to our main office.


    * Fax - the quickest way to get your billing to us! Just fax each completed document to our office on an

      as needed basis (after each visit, at the end of each day, once per week, etc).


    * Email
  

    *U P S or Fedex Carrier At Our Expense

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How often should we send our new billing to you?

As often as you choose to! We personally recommend, however, that our clients send us their new billing consistently on either a daily or weekly basis.

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How do we report when treatments are rendered, so that you are able to generate a claim on our behalf?

We must receive a completed superbill (treatment form), which has been signed by the physician rendering the services. This form must contain:
# Patients name
# Name of insurance carrier
# CPT codes
# ICD-9 code(s)
# Referring physician's name and the referral #
# Any/all applicable modifiers
 

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What information is needed in order for your office to generate a claim on our behalf?


    We require the following...
    * New Patient Information Form
    * A copy of the patient's insurance card or WC ID card (front and back
    * A copy of the patient's written prescription (if applicable)
    * The patient's first superbill (treatment form)

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Do we have to report the insurance payments received in our office to you?

Yes! It is vital to your practice that we receive this information, so that we can enter the insurance carrier's payments and generate the necessary patient statements for those accounts which still may have a balance due.

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How do you handle non-payments from a patient?

We will send out no more than four statements, and make follow up phone calls. After 120 days we recommend that the account be turned over to collection and that the patient be denied future treatments until their account has been paid. If you are not already affiliated with a collection agency near you, please let us know.

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How do you handle non-payments from an insurance carrier? (denials, etc.)

We must first determine if the denial, whether in part or in full, is valid. If the denial is valid it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim. Unfortunately, many carriers will require that the claim be resubmitted on paper via snail mail, and additional charges may be invoiced to your account as a result.

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What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office?



      You will receive a report indicating that the claim does not contain enough information to be processed by the carrier, listing exactly what is missing, which is normally faxed to your office immediately. We do this as a courtesy to you and your staff, to assist in gathering the information quickly, and to avoid timely filing deadlines that are imposed by many insurance carriers.
 

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