Lighthouse Medical Billing

Services provided for one fee (11% of collected revenue):

-Claims submission, tracking & updating
-EFT & ERA enrollment & processing
-Eligibility & benefits verification
-EOB & payment accounting
-Appeals, rejections & denials
-EAP, TriCare, Workers' Comp, Motor Vehicle Accident, Crime Victims, Insurance Billing
-Patient invoicing & accounting
-Track prior authorizations & requests for additional sessions
-Secondary or tertiary insurance
-Answer patient billing inquiries
-Monthly reporting
-Monthly aging accounts receivable reports to follow up on unpaid claims

Additional service with separate fee:
-Credentialing, Re-credentialing and Management of Expirables
1. Credentialing: $250.00 per commercial insurance panel, per provider / CAQH application
o Initial provider setup and enrollment (Creating provider portals:Availity, OneHealth Port, CAQH, etc.) o Complete applications and submit to insurance panels
o Follow up with insurance companies to determine application status
o Notification of application decision
o Appeals or resubmissions
2. Management of Expirables: $25 per renewal, attestation or profile verification
o Alert provider of upcoming expiration of license, certifications, or professional liability insurance
o Alert provider of upcoming re-attestation or re-credentialing requirement
o Update / maintain provider’s CAQH, Availity, and/or OneHealthPort profile(s)