FAQ

"What information is needed for your office to generate a claim on our behalf?"

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We require the following, transmitted securely through a HIPAA compliant file sharing service provided by us:

• New Patient Information Form

• A copy of the patient's insurance card or WC ID card (front and back)

• A copy of the patient's written prescription (if applicable)

• The patient's first superbill (treatment form)

 

"What happens if information is lacking?"

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You will receive a report indicating that the claim does not contain enough information to be processed by the carrier, listing exactly what is missing, which is normally faxed to your office immediately. We do this as a courtesy to you and your staff, to assist in gathering the information quickly, and to avoid timely filing deadlines that are imposed by many insurance carriers.

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"How do we report payments in the form of co-pays and patient billing?"

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You can easily report a patient's co-payment, made at the time of service, on their superbill (treatment form) for that day's treatments.

You can also report all of the patient's payments, received in the mail, by keeping a Payment Log. A payment log enables you to report all payments received in your office, using one simple form. If you do not already use this type of form in your practice, we can custom design one for you.

You can also report all of the patient's payments, received in the mail by making a copy of the check and attaching it to their patient statement remittance (if returned).

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"How do you handle denials?"

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We must first determine if the denial, whether in part or in full, is valid. If the denial is valid it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim.

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"Do we have to utilize all of your services?"

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You do not. West Texas Med Support is an a-la-carte service that offers scalable solutions to fit your needs. We can handle as much or as little as your practice deems necessary.

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