Frequently Asked Questions
We have compiled a list of the most frequently asked questions. If you have a question that is not on the list, please email us and we will be happy to assist you.
Will I have to sign a long-term contract?
Absolutely not. In fact, our goal is your satisfaction; therefore, the terms of our contract are based on our performance. Our clients partner with us because of the exceptional service we provide, not because they are locked into a long-term contract.
Are there any set-up fees to get started?
There is a nominal fee to cover the expense of the setting up your practice. Your setup fee is 100% refundable if you are not completely satisfied with our service.
Will I need to purchase any special hardware or software?
No. We have made the investment in state of the art hardware and software so you don't have to.
How often will my claims be processed?
All claims will be processed within 24 hours of receipt of complete and accurate information.
Is your company HIPAA Compliant?
Yes, we strictly adhere to all privacy and security regulations required by the Health Insurance Portability and Accountability Act (HIPAA). We also have a designated, in-house HIPAA Compliance Officer. Helping our clients stay in compliance is part of the value added service we provide.
Where will reimbursements be sent?
All reimbursements will be sent directly to your office. To ensure proper posting of payments, copies of all checks and EOBs must be sent to 1st Choice upon receipt.
Do you only process claims for commercial insurance carriers?
No. We process claims for all commercial insurance carriers as well as; BCBS, Medicare, Medicaid, CHAMPS/TriCare, Workers Compensation and Personal Injury Health Insurance.
Do you bill secondary insurance?
Yes. We bill primary, secondary and tertiary insurance as needed.
Do you send claims electronically?
Yes. In most cases, claims are submitted electronically. Electronic claims submission expedites the reimbursement process. We also have the capability to submit paper claims as needed.
How do you handle denied claims?
First we ascertain the reason for denial then we work with the carrier to determine what is needed to get the claim processed. In many cases claims are denied due to missing or incorrect information. We will aggressively follow up on all denials and do everything necessary to get all valid claims paid.
Will you bill my patients?
Yes, If you add the "
patient billing service" to your bundle of services, we will bill patients directly on your behalf. Some clients prefer to handle patient billing in house; the choice is yours. We use a "soft" method of collection; samples of patient statements and collection letters will be provided to you for your review and approval before anything is sent to the patient. These
forms can also be modified to meet the needs of your practice. If, at any time, you choose to add or remove this service from your package we will help facilitate a smooth transition for you and your patients.
Will I need to report patient payments that come to our office?
Absolutely! It is imperative that all patient's payments and co pays are reported to us promptly. Co-pays should be clearly indicated on the patient's superbill at the time of service. Subsequent payments can be reported to us by either entering payments through your Secure Remote Access account or simply make copies of patient payments and the corresponding patient statement.
What information do you need from me to process my claims?
We will need the following: Patient Superbill, Patient Information Sheet and a copy of patient's insurance card (front and back).
How do I get started?
We will need the following: a signed copy of 1st Choice contract, completed New Client Sheet, list of participating providers and a copy of their billing guidelines (if available), W4 forms for all providers, W9 form, copy of your New Patient Information Sheet, copy of your superbill, your Fee Schedule, list of contracted amounts if any, copies of all EMC (Electronic Media Claims) Agreements on file and a completed copy of the 1st Choice New Client Information Sheet.
How and when will I be billed for your services?
You will be billed the first Monday of every month based on claims submitted the previous month. Invoices are due in full upon receipt and considered late after 10 days. Late fees will be assessed to any and all late payments.