HOW DOES PRIORITY MEDICAL BILLING HELP YOU?
SUPPORT FROM PATIENT TO PAYMENT
CLAIM PREPARATION & SUBMISSION
Accurate billing starts before a claim reaches the insurance company. We enter patient demographics and review each claim for missing or inconsistent information. Claims are submitted electronically through a clearinghouse, where additional checks help flag potential problems. When a claim is rejected, we investigate the cause and make the corrections needed for resubmission.
PAYMENT & ACCOUNT MANAGEMENT
We post insurance and patient payments so your accounts reflect what has been received and what remains outstanding. We review remittance information to understand how claims were processed and apply the appropriate adjustments. Credits and overpayments receive additional review to determine what needs to be addressed.
UNPAID CLAIMS & APPEALS
Submitting a claim is only part of the billing process. We monitor outstanding balances and investigate claims that have not been paid. When an insurer denies a claim, we review the explanation and determine the next step, whether that involves a correction or an appeal. We also research older unpaid claims that need attention.
PATIENT BILLING SUPPORT
Patient statements should reflect an accurate, understandable balance. We prepare statements and answer questions about the amounts patients owe. When someone needs help understanding how insurance processed a claim, we review the account with them and explain the remaining responsibility.
PRACTICE REPORTING
You should know where your billing stands. We provide daily and monthly reporting, including accounts receivable aging to show which balances remain unpaid and how long they have been outstanding. Practice analysis offers a broader view of billing activity. We also prepare quarterly and annual MinnesotaCare tax reports.
HIPAA COMPLIANCE & AMBA ACCREDITATION
Protecting patient information is part of our everyday work. We follow HIPAA privacy and security requirements throughout the billing process. Priority Medical Billing is also accredited by the American Medical Billing Association, reflecting our commitment to compliance and professional standards.
WHY OUTSOURCE YOUR BILLING?
Spend less time managing billing and more time supporting your patients. Outsourcing means you don’t have to run an in-house billing department or handle the hiring, training, and coverage that come with it. Our team manages the billing work and keeps you informed through clear communication and detailed reporting.