Frequently Asked Questions
Answers That Matter, Right When You Need Them
Have questions about our medical billing, credentialing, or support services? We’ve compiled clear, concise answers to help you make informed decisions. Still unsure? Our team is just a message away ready to assist you anytime.
Do You Have Questions?
What services do you offer?
We provide complete Revenue Cycle Management (RCM) and Practice Management solutions for physician practices and clinics, specializing in Part B professional services.
Do you offer customized RCM solutions?
Yes, we tailor our services to meet your unique needs—whether it's integrating with your preferred billing software, managing credentialing, authorizations, patient inquiries, or anything else specific to your practice.
Do you have your own billing software?
We don’t use proprietary software, but we offer access to top-tier third-party billing platforms to ensure a seamless experience for you.
Can you work with other billing software providers?
Absolutely. We support a wide range of trusted third-party billing software. We’ll work with the platform you’re most comfortable using.
Can you handle patient billing inquiries?
Yes. We take full responsibility for patient communications related to billing, statements, and payment questions, ensuring your patients always get clear, professional support.
What types of reports will I receive?
You’ll be assigned a dedicated manager, team lead, and billing team. Expect detailed daily, weekly, and monthly reports on your practice’s financial health, claims performance, and revenue metrics.
Will I have access to the billing system?
Yes. We believe in full transparency. You’ll have complete access to the billing platform to monitor our work, run custom reports, and track your progress anytime.
Do you assist with insurance refunds?
Yes. If a refund request arises, we verify its validity with the insurance provider. If confirmed, we’ll coordinate adjustments or advise your team if a direct refund is required.
How can I start billing for just $3?
We offer a simplified, cost-effective billing model starting at just $3 per claim to help practices launch efficiently and affordably. To get started, contact us at:
📧 info@wellclaimpartners.com
📧 info@wellclaimpartners.com
Prior Authorizations FAQs
Which specialties do you support with prior authorization?
We provide comprehensive prior authorization services for a wide range of specialties, including:
Electrophysiology, Cardiovascular Disease, General Surgery, Psychiatry, Pediatrics, Podiatry, Internal Medicine, Gastroenterology, Dermatology, Family Practice, Mental Health, Counseling, Ophthalmology, Chiropractic, Oncology, Radiology, Rheumatology, Urgent Care, Speech Therapy, Physical Therapy, and Occupational Therapy.
Electrophysiology, Cardiovascular Disease, General Surgery, Psychiatry, Pediatrics, Podiatry, Internal Medicine, Gastroenterology, Dermatology, Family Practice, Mental Health, Counseling, Ophthalmology, Chiropractic, Oncology, Radiology, Rheumatology, Urgent Care, Speech Therapy, Physical Therapy, and Occupational Therapy.
Will I be notified when a patient’s authorization is about to expire?
Yes. We proactively track authorization timelines and notify you before any expiry. We also begin the reauthorization process in advance to avoid any care delays.
How long do prior authorizations take?
Typically, prior authorizations take 7 to 14 business days to process, depending on the insurance provider and procedure.
What if a prior authorization is denied by the insurance?
If an authorization is denied, we guide you through the appeal process. With clinical justification from your practice, we work to overturn denials and ensure the treatment is approved.
Do you handle referrals by communicating with primary care physicians?
Yes. We take care of referral coordination by contacting primary care physicians via phone and fax—and we follow up consistently until the referral is completed.
Eligibility and Benefits Verification FAQs
How do you assist with eligibility and benefits verification?
We begin the verification process two days before the scheduled appointment. Patient eligibility and benefit details are requested in advance, shared with your team via email, and also uploaded to your EMR system—ensuring you have full visibility before the visit.
What if I need to add more patients a day before or on the same day?
No problem. As soon as new patients are added to your scheduler, our team acts quickly to verify their details and update the system often within hours to keep your schedule running smoothly.
What happens if a patient’s insurance is inactive or doesn’t cover certain services?
We promptly alert your team if a patient has inactive insurance or limited coverage. This allows your practice to contact the patient in advance and make necessary adjustments to avoid billing issues later.
Medical Coding FAQs
Do you review medical records and use them for claim coding?
Yes. Our certified coders carefully review each medical record related to the services provided and assign accurate CPT, ICD, and modifier codes to ensure correct and timely claim processing.
Can I code the claims myself and send them for review?
Absolutely. If you prefer to code your own claims, our team will review them for accuracy and compliance. We verify the CPT/ICD codes, apply appropriate modifiers, and flag any discrepancies to help maximize reimbursement and reduce denial risk.
Do you use CPT and ICD codes to handle claim denials?
Yes. We thoroughly analyze denied claims, identify coding-related issues, make necessary corrections using appropriate CPT, ICD, and modifier codes, and resubmit them promptly to recover lost revenue.
How quickly do you code the claims?
Claims are typically coded within 24 hours after the provider signs off on the medical records, ensuring fast turnaround and smoother billing cycles.
Medical Billing FAQs
Will you submit claims in the best interest of our practice?
Yes. We manage both electronic and paper claim submissions to the clearinghouse and actively handle all denial and rejection follow-ups—ensuring your practice receives what it’s owed.
Will we have full access to view claims and payments?
Yes. Upon request, your team will have complete access to the billing system where you can track payments, monitor claims, and generate reports anytime.
Who should we contact for questions about billing and collections?
You’ll be assigned a dedicated account manager who will serve as your point of contact. They’ll be available via phone and email for any billing-related inquiries.
Do you provide regular billing and collections updates?
Yes. You'll receive daily email updates on billing activities and collection statuses to keep you fully informed at all times.
How often do you work on rejections and denials?
Denials, payer rejections, and clearinghouse issues are worked on daily. A detailed summary report is provided weekly to give you a clear view of progress and recovery actions.
What types of reports will we receive?
We provide a variety of reports, including:
Monthly Financial Summaries
Claim Tracking Reports
Aging Reports
Missing Information Alerts
Custom Reports Upon Request
Monthly Financial Summaries
Claim Tracking Reports
Aging Reports
Missing Information Alerts
Custom Reports Upon Request
Do you send statements to patients?
Yes. Patient statements are sent out regularly. We also offer flexible billing cycles to match the specific needs of your practice.
Who handles patient billing inquiries?
Our experienced customer service specialists are available to assist your patients directly. We handle all inquiries related to invoices, payments, and statements with professionalism and care.
Patient Help Desk FAQs
Will you review our patient statements? What should we expect from it?
Yes. We thoroughly review patient statements, including the date of service (DOS), procedures performed, and any outstanding balances whether owed by the patient or the payer. This ensures accuracy and helps improve collection outcomes.
Do you handle Coordination of Benefits (COB) updates with payers?
No. COB updates can only be initiated by the patient. However, we guide practices and patients on how to complete this step to prevent claim delays.
How often are reminder calls made to patients?
We follow a structured reminder process. First, billing statements are sent via mail through the clearinghouse on a 28-day billing cycle, in accordance with your practice policy. If no response is received, we then place reminder calls or leave voicemails. If payments are still not made, we compile the final statement list for the provider, who may choose to forward it to a recovery agency.
What happens when a patient calls with billing questions?
Patients can reach our support team between 8:00 AM and 5:00 PM (your local time zone). All calls are routed to our main office, where our Patient Help Desk Specialists assist them with professionalism and care.
Credentialing / Enrollment FAQs
What is the credentialing process and how can I get started?
Credentialing is the process of verifying a provider’s qualifications, licenses, and background to ensure accurate representation within insurance networks. We handle the entire process for you—from paperwork to payer communication—and help you get contracted with leading insurance companies so your practice can start participating in major health plans.
Which insurance companies will my practice be enrolled with?
We work to get your practice enrolled with the maximum number of insurance payers available in your state. We also take care of setting up EFTs (Electronic Funds Transfer) and EDIs (Electronic Data Interchange) for efficient claims processing and payments.
How long does the credentialing process take?
Credentialing typically takes 3 to 6 months, depending on the availability of the insurance panels and responsiveness of the payers.
What’s the process for provider credentialing?
Credentialing involves submitting and verifying key documents through your CAQH profile and other required forms. The insurance companies then evaluate the credentials, licenses, and history of the provider before approval.
Can I add a new physician to an existing group?
Yes! Adding new providers to your current group is simple. Just share the details of the new physician(s), and we’ll handle the submission and communication with the insurance payers on your behalf.
Add Your Heading Text Here
What services do you offer?
We provide complete Revenue Cycle Management (RCM) and Practice Management solutions for physician practices and clinics, specializing in Part B professional services.
Do you offer customized RCM solutions?
Yes, we tailor our services to meet your unique needs—whether it's integrating with your preferred billing software, managing credentialing, authorizations, patient inquiries, or anything else specific to your practice.
Do you have your own billing software?
We don’t use proprietary software, but we offer access to top-tier third-party billing platforms to ensure a seamless experience for you.
Can you work with other billing software providers?
Absolutely. We support a wide range of trusted third-party billing software. We’ll work with the platform you’re most comfortable using.
Can you handle patient billing inquiries?
Yes. We take full responsibility for patient communications related to billing, statements, and payment questions, ensuring your patients always get clear, professional support.
What types of reports will I receive?
You’ll be assigned a dedicated manager, team lead, and billing team. Expect detailed daily, weekly, and monthly reports on your practice’s financial health, claims performance, and revenue metrics.
Will I have access to the billing system?
Yes. We believe in full transparency. You’ll have complete access to the billing platform to monitor our work, run custom reports, and track your progress anytime.
Do you assist with insurance refunds?
Yes. If a refund request arises, we verify its validity with the insurance provider. If confirmed, we’ll coordinate adjustments or advise your team if a direct refund is required.
How can I start billing for just $3?
We offer a simplified, cost-effective billing model starting at just $3 per claim to help practices launch efficiently and affordably. To get started, contact us at:
📧 info@wellclaimpartners.com
📧 info@wellclaimpartners.com
Add Your Heading Text Here
What services do you offer?
We provide complete Revenue Cycle Management (RCM) and Practice Management solutions for physician practices and clinics, specializing in Part B professional services.
Do you offer customized RCM solutions?
Yes, we tailor our services to meet your unique needs—whether it's integrating with your preferred billing software, managing credentialing, authorizations, patient inquiries, or anything else specific to your practice.
Do you have your own billing software?
We don’t use proprietary software, but we offer access to top-tier third-party billing platforms to ensure a seamless experience for you.
Can you work with other billing software providers?
Absolutely. We support a wide range of trusted third-party billing software. We’ll work with the platform you’re most comfortable using.
Can you handle patient billing inquiries?
Yes. We take full responsibility for patient communications related to billing, statements, and payment questions, ensuring your patients always get clear, professional support.
What types of reports will I receive?
You’ll be assigned a dedicated manager, team lead, and billing team. Expect detailed daily, weekly, and monthly reports on your practice’s financial health, claims performance, and revenue metrics.
Will I have access to the billing system?
Yes. We believe in full transparency. You’ll have complete access to the billing platform to monitor our work, run custom reports, and track your progress anytime.
Do you assist with insurance refunds?
Yes. If a refund request arises, we verify its validity with the insurance provider. If confirmed, we’ll coordinate adjustments or advise your team if a direct refund is required.
How can I start billing for just $3?
We offer a simplified, cost-effective billing model starting at just $3 per claim to help practices launch efficiently and affordably. To get started, contact us at:
📧 info@wellclaimpartners.com
📧 info@wellclaimpartners.com