Services Overview

Your Profit is our Priority  

Today, doctors are trained to be great clinicians not business owners. This is where Priority Health Claim Services, Inc. comes in to compliment your practice and assists you with your practice management. We work with insurance companies to make sure you receive the proper payments for the services you provide.

Available Services

Priority Health Claim Services, Inc will provide:

  Medical Billing  
  • Registration of your patients if needed
  • Electronic claim submission within 24 hours of receipt
  • Post insurance and patient payments
  • Follow up with insurance companies when paid incorrectly or nonpayment
  • Create patient statements
  • Answer all calls personally
  • Set up and monitor payment plans
  • Provide customized superbills if needed
  • Provide monthly reports as requested
  • Have a collaborating relationship with an outside collection agency
  • Develop a personal and professional relationship with each office
  • Appointment scheduling, automatic eligibility and benefits verification via our practice management software
  • Complete insurance credentialing forms
  • Follow up on status of credentialing process
  • Negotiate with insurance companies to get the best reimbursement rates
  • Hospital privileges credentialing as needed
  • CAQH initial, updating and attestation
  • NPI registration and updating for individual and group
  • Research new procedures and reimbursements on these procedures
  • Recommendations on office practices
  • AR analysis
  • Update with government regulations
  • Software solutions that will provide electronic health records
  • Keep track of both electronic and paper claims
  • Maximize collections and reduce receivables
  • Analyze underlying issues regarding changes in AR, patient non-eligibility, adjudication and errors in coding and charge entry
  Customized Processes  
  • Where possible we can customize our services based on your needs.