"Where Every Doctor Counts!"

580-369-5500 or Toll Free 866-660-2455

For the month of January receive your insurance verifications free for a period of 2 month with a signed billing contract.   

COLLECT THE”OUT OF POCKET” FROM YOUR PATIENT.

Most medical insurance has an out of pocket (OOP) expense.

The out of pocket expense amount is set by the insurance company according to the patient’s policy.  The set amount must be collected by the provider at the time of each visit until said amount is reached.  The patients insurance will only pay a certain percentage as established in plan until all OOP amount is reached.  So say you have a patient come into your office.  You call the insurance company and they tell you the patient has an 80/20 plan.  This means the insurance will only pay 80% of allowed amount. The patient has a $2500.00 OOP.  Until that $2500.00 is met the insurance will only pay 80% of the allowed amount, if all OOP has been met the insurance should pick up 100% of the allowed amount.  Patient may have an individual OOP or a family OOP.  This again depends on the insured’s policy. Some insurance allows the amount the patient pays on co-pay and deductible to be used towards their OOP expense.  Some do not allow accept the deductible and co pays as part of the OOP.  These are question that are asked of the insurance representative when you verify the patients insurance, at this the representative should be able to tell you the patients OOP and how much patient has paid toward this amount. 

Is your practice collecting the deductibles, co pays and out of pocket fees, or are you leaving this money on the table?  Do you understand all the ins and outs of the patient insurance plans?

If you don’t understand you could be losing money every day on each patient.  Contact us we can help you know so you lose the money due you.  We also offer a billing contract that includes insurance verifications when you need them. We customize you a verification form suited for your practice. 

EDC Practice Management will create more Revenue, more Freedom and more Peace of Mind for your medical practice on a daily basis.