Frequently Asked Questions (FAQs) and Answers

How soon can you start with our service?
One day, however we prefer 1 week to ensure the smoothest transition.

Are reimbursements sent to your office or the provider’s office?
All reimbursements are sent directly to the provider’s office. OUTSMED will receive no payments from
insurance carriers or patients. We do need a copy of the EOB for posting payments to patient accounts
(Depending on if the carrier is not set up for electronic EOB).

What documentation is required to file a claim?
We must receive a completed super bill or spreadsheet containing all of the following information:
Patient’s demographics – Date of service – Name of insurance carrier – CPT Codes – DX Codes.

How will documentation get to your billing agency?
We can receive information via fax, first-class mail, e-mail or we can arrange pick up if in a local area.

How often are our claims processed?
Usually within 24-48 hours of receipt.

Will claims be filed electronically?
Yes, for those carriers that accepts electronic billing and we will bill all primary and secondary
insurance companies.

What are your rates?
The provider chooses one of our 3 options that best fit their practice.

Do you offer training to providers or their administrative staff?
Yes, all training is customized according to your office needs.

Are all unpaid claims followed up?
Yes. OUTSMED follows up on every claim until it is paid or satisfied.

How often do you send patient statements?
Statements will be sent every 30 days until the account is paid or satisfied.

Helpful Links:

www.bcbsga.com www.ghp.georgia.gov/wps/portal www.hipaa.com www.medicare.gov

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