Full-Service Claims Management: Maximize Revenue Without the Administrative Burden
We have agents across the province who will enter, submit and professionally manage your entire medical billing process
For a physician with a minimal administrative team, the choice often boils down to managing it yourself with software or outsourcing to an agency. Your decision should be based on what you value more: saving money or maximizing your revenue entitlements.
Full Service Claims Management
The Great Debate: Billing Software vs. Full-Service Agency
To protect your data we provide free of charge, a robust, secure, and efficient platform for sensitive medical data exchange. MedFile Secure Transfer incorporates AES-256 encryption, comprehensive audit logging, and an API for automated agent-to-client file uploads. You can check out MedFile Secure File Transfer here.
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When to Choose a Full-Service Agency
- Your Time is Priceless: If you have zero tolerance for spending time on administrative or rejected claims, a full-service agency is worth the percentage fee.
- You are a Low-Volume Specialist: For specialists (like surgical assists or anesthesiologists) who may submit only 30 claims a week, errors are financially devastating. A 10-claim error is a 30% hit to your weekly billings. Expert management is a non-negotiable insurance policy.
- Accuracy and Timely Payment: As an external service, they should provide accurate billing and ensure you get paid within the typical 9 to 10-day payment cycle which is a critical factor many budget services fail at.
A full-service agency is the better choice when:
The Biggest Overlooked Opportunity: Expert Support
- The fee schedule is standardized; all software and services have to meet the same specifications. So, where is the true opportunity to legally maximize your revenue?
- It comes down to Support.
- The greatest differentiator is not the software interface, but the availability of immediate, expert, human help. When you encounter a complex, stackable billing scenario (like Dr. B's consult), the ability to pick up the phone and talk to a knowledgeable support person—not a minimum-wage receptionist—is the key to ensuring you enter a valid, accurate, and maximum claim the first time.
- That is the definition of a billing partner: one that supports your claim to the highest entitlement, allowing you to focus on your patients.