Back Office Provides will do an eligibility check (active/inactive) for all patients on the scheduled dates. A note will be placed in the appointment card indicating the insurance is active.

BackOffice Providers will do a full breakdown of benefits for all patients in the schedule, the breakdown will have details of Frequency, Limits, Dental History, Age Limits, & coverage Percentage.

BackOffice Providers will acquire EOBs from insurance that pay the client by EFT by login to insurance website & EOBs office receives by mail, we will send you summary of batch report.

BackOffice Providers will call the insurance for every claim over 30 days old. A note explaining why the claim is outstanding and what was done about it will be placed the PMS.

BackOffice Providers will audit each account with a balance over 30 days old. A note explaining balances will be placed in PMS. Outstanding bill will go through our collection’s process.

BackOffice Providers will submit claims to insurance via clearing house and make attachments. BackOffice Providers will gather the information deem important for insurance billing needs.

BackOffice Providers will submit all Pre-Ds to insurance via clearing house and make proper attachments. Once we receive Pre-Ds we enter in PMS, & Call/Message Patient for appointment.

We will call all the schedule appointment to reminder of the appointments. A note will be placed in the appointment Info indicating if the appointment have been confirmed/cancelled appointment.

BackOffice Providers will coordination with the client, & fill daily schedule for all providers. BackOffice Providers will schedule appointments back for each provider from unscheduled list.