FREQUENTLY ASKED QUESTIONS

Between the 1st and 5th of each month you will receive a reimbursement ACH directly to your account. If you prefer a check, you will receive this by the 15th of each month.

We recommend utilizing generic medications when possible to keep your cost of goods low. Each state is unique for workers compensation. Some states have state specific formularies that restrict payment on specific medications. We help by providing our knowledge and experience to get you the highest reimbursements possible for your state.

Each state has their own laws on how much time they have to respond with a denial or payment on a bill. On average we collect payments for claims 30 to 45 days from when they are billed. There are several factors that play into the time range for getting paid on claims: 1. Electronic vs. USPS delivery. We prefer to bill claims electronically, although some carriers require that we send claims via USPS. 2. The bill was denied by the insurance carrier. We write an appeal in these situations and provide the insurance carrier with any necessary documentation for reconsideration of the bill for payment. This starts the claim process time over again. 3. The information submitted to our bin had an incorrect Date of Injury, Diagnosis Code(s) or the wrong insurance company information, causing us to have to research, correct and rebill.

Without this information we are not able to successfully bill out your claim. This information is necessary and will be required. If the claim number is not available, you can use the patient’s social security number in its place. The physicians office will have all the information you will need to bill out each patient. Usually all it takes is a quick call.

We may reach out to you for prescription copies, physician treatment notes, etc. to send to the insurance adjuster.