Frequently Asked Questions
1. What does Medi-Claim charge?
Medi-Claim offers an All-Inclusive Service Package that includes full charge entry, payment posting, insurance follow-up, and patient billing. Medi-Claims charges a percent of billing collected. Each practice in evaluated and the parties agree on a percentage.

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

3. What are the steps to get started?

Step I: Fill out our Provider Enrollment Form. We will need some specific practice information to get started such as: practice name, address, NPI, Tax ID, etc. Once established, we can usually start submitting claims within a few days.

Step II: Agree on work flow.

Step II: Begin filing claims.

4. Are there any start-up fees?
No.

5. Does Medi-Claim follow-up on outstanding medical claims?
Yes. We understand that apart from collecting claims, identifying outstanding 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 and will follow up on each & every claim that has passed a time frame of 40 days.

6. Do you follow a process while making appeals?
Yes. We follow the complete appeals process per the payer’s instructions.

7. What if I don't have any billing software?
We can provide you with our comprehensive and easy-to-use, web based 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 types of practice can use Medi-Claim?
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 meet your needs.

11. What medical billing software/clearing house do you use?
Medi-Claim uses the web based Practice Mate and Office Ally practice management systems.

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 statements 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.