It's been proven
Pridemark Billing Service has for years been providing exceptional customer service and collecting more cash per transport than its larger national competitors. Numerous other agencies contract with Pridemark to bill for their EMS services and have seen remarkable results.
The Thornton Fire Department recently enjoyed the news that they were receiving over 40% more per transport than with their previous billing provider. This increase in cash allows for more options for each and every one of our valued customers.
Transport/Documentation
You do the medical transport and provide the needed medical documentation.
Transmission
You can send the medical documentation to us via paper, fax, electronic format, or secure FTP site.
Pre-billing Screening
We screen each claim to ensure it is sent to the correct payer. If complete insurance information is not received, calls are made to the patient or the hospital in an effort to gather accurate billing information. Most third party payors now offer access to their databases to verify insurance coverage eligibility. When available, we utilize these services. This assures that we are delivering the bill to the correct payor, the first time, as often as possible.
Based on the information received we will set the appropriate payor and claims will be generated in the proper format based on payor. Our billing software has a powerful verification system which will ensure all the necessary information is captured based on payor requirements prior to submitting a claim. This ensures that claims are not filed without all the information required by a third party payor. This process covers both electronic and paper submissions.
Patients
When the patient is responsible, we work closely with him/her and offer multiple financial options.
Medicare/Insurances
All Medicare, Medicaid, and commercial claims are submitted electronically. We submit Medicare and Medicaid directly to those payors. The vast majority of commercial insurance claims are submitted via an electronic claims clearinghouse. We downloaded a nightly batch of claims to clearinghouse which then properly formats and submits claims to the payors. As needed we will provide additional required paperwork to Medicare, Medicaid, insurance companies or third party payors.