Billing companies that work ENT claims every day and take on practices in Virginia Beach, VA. 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:
Hampton Roads is Sentara country. Sentara owns hospitals and the Sentara Health Plans health plan, and it employs specialists across Norfolk, Chesapeake and Virginia Beach. Navy and Coast Guard families add Tricare, and the military referral process is its own discipline. Anthem covers much of the rest of the commercial market. With this many service members and veterans, sleep apnea drives more ENT surgery than anything else, and each plan wants its own sleep study documentation. Hearing loss claims from service members are common, and they often involve both the military health system and a civilian plan.
An independent ENT has to decide how to handle the Sentara Health Plans relationship, because staying out of that network costs referrals. Then there are Tricare patients who deploy or relocate mid-treatment and leave authorizations that expire halfway through a care plan. Authorizations with end dates are where this market loses money, and somebody in your office should own the calendar.
Compare other specialties in Virginia Beach, VA on the Virginia Beach 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 Virginia Beach, VA.
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