Billing companies that work endocrinology claims every day and take on practices in Pittsburgh, PA. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
UPMC and Highmark have spent years as rival health system and rival insurer, with UPMC running its own health plan and Highmark owning the Allegheny Health Network. Patients get stuck between them. A patient with a Highmark plan who wants an UPMC-affiliated specialist may find the visit out of network, and the reverse. An independent endocrinologist with contracts on both sides gets patients who are frustrated and trying to leave one system.
That makes eligibility checking more than a formality. If the card says one thing and the patient's referral says another, your front desk is the last chance to prevent a surprise bill and a lost patient. Pittsburgh's older population also means a lot of Medicare Advantage claims, and both major plans offer them. Your practice may be in network for one and not the other. Your contract list changes every year and nobody will email it to you, so whoever bills for you has to keep track of it.
Compare other specialties in Pittsburgh, PA on the Pittsburgh medical billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in Pittsburgh, PA.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals