What services do you offer?

Standard services include electronic claims billing including all HMO's, patient statements, status checks and follow up. We also offer temporary billing services, in-office billing evaluation and clean up of old receivables. We’re happy to customize our services to meet the unique needs of your practice.

How does TBO get the patient information needed to submit medical claims?

There are several options, depending on volume and your preference. Your office will be provided the technology to send us information over the internet via our secure FTP. If we need additional information, we’ll contact your staff.

How often are claims processed?

All claims are filed within 24 hours of receipt.

How are payments received and posted?

TBO maintains a technical means of communication with most insurance companies.   For the most part, we receive information regarding payments as soon as the claims are processed.  We then enter all payment information into the patient’s account. However, should you receive EOBs from the insurance companies, in order to apply proper credit and adjustments, we require a copy of the EOB. If there is a secondary coverage, TBO bills upon the receipt of the EOB from the your office. When private payments and co-pays are made to the physician, we require a copy of the receipt and/or checks se we can credit the patient's account.

What if the insurance company denies a claim?

Denials usually occur when relevant information is missing. We’ll contact you for the missing information and resubmit the claim for payment immediately

How does patient billing work?

Patient billing is triggered automatically when the EOB is received from the insurance company, assuming there is a balance due. If the claim is subject to contractual limits, TBO will credit the patient's account accordingly and bill for the balance. If a co-payment is made at the time of service, we’ll need to be notified so we can credit the account properly. TBO then follows up on outstanding patient accounts at 30, 60 and 90 days in accordance with standard practice.

What reports do you provide?

You will receive regular monthly reports based on the needs of your practice, as well as weekly transmission reports. Additional, customized reports are available upon request for a nominal fee. With your remote access, you will be able to run reports whenever and as often as you want.

Does TBO handle my checks?

No. We file the claims and post EOBs and payments as needed, but we don’t handle checks directly. Most carriers can deposit directly to the your account when the claim is submitted electronically, or send payment to your office.

How quickly will I be reimbursed?

With TBO expedited connections and EFT,  you could expect payment from major payors within 3-10 business days.

What if patients call my office with questions about their claims?

You can refer your patients directly to us. We pride ourselves on excellent in customer service when in handling patient inquiries and requests.

What if a claim is submitted incorrectly?

Our standards dictate that we submit claims correctly upon first submission. If we do make an error, we’ll revise the claim and resubmit it immediately.

What are the fees for TBO?

Fees are dependent upon the practice's volume of claims and any additional services that are contracted. Please contact us for a quote on the services tailored to your needs.

How are adjustments and write-offs handled?

We take only adjustments that are in direction relation to your contract. Other adjustments will be made only with your approval.

Is there a start-up fee?

A start up fee is dependent on the services requested.  With Transition Point service TBO will normally not require a fee.   However, Recovery Services (old billings) will require a start up fee.

Do you have experience with my specialty?

TBO employees have over 50 years of experience within the healthcare field.  The variety of specialties that we service requires knowledge of modifier usage, global billing periods, Medicare and Medicaid rules, making it necessary for our staff to continually update their education in order to stay current.

OK, I'm ready to get started! Now what?

TBO will set up a phone appointment to meet with you and your staff in order to outline procedures and exchange necessary information. We will supply you with an agreement; forms bundle, and have you sign the provider applications for our clearinghouse.  You can be up and running within 2 days.