Contact information
Address

324 Timber Trail Chelsea AL 35043 | Chelsea, Al 35043

Email

INFO@prismrevenueservices.com

Phone

205-476-2327

Company

Frequently asked questions

How billing, claims, and payment reporting actually work day to day. A couple of answers differ slightly between medical and dental practices — filter below if that's relevant to you.

Jump to a question

Q: How often should we send our new billing to you?

Daily is best. The sooner a claim reaches us, the sooner your patients get taken care of and the sooner your practice gets paid — batching billing up for a weekly send just creates a backlog and slows that down for everyone, including the patients waiting on it.

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Q: What information does your office need to generate a claim on our behalf?

We require the following:

  • 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)
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Q: How do we report treatments so a claim can be generated?

For medical practices

We need a completed superbill (treatment form) signed by the rendering physician, containing:

  • Patient's name
  • Name of insurance carrier
  • CPT codes
  • ICD-10 code(s)
  • Referring physician's name and referral number
  • Any applicable modifiers

For dental practices

We need a completed treatment form signed by the treating dentist, containing:

  • Patient's name and insurance information
  • Tooth designations for each procedure
  • Treating dentist's name
  • Any applicable modifiers
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Q: Do we have to report the insurance payments we receive?

Yes. We need this information to enter the carrier's payments correctly and generate accurate patient statements for accounts with a remaining balance.

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Q: What if a required form was missing information when we already sent it?

We'll reach out and request what's missing so the claim can be processed.

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Q: How do we report co-payments and other patient payments?

Co-payments made at the time of service can be reported on that day's superbill (treatment form).

Payments can also be reported using a Payment Log — a simple form for logging everything received in your office. We can custom-design one for you if you don't already use one, or you can report them by copying the check or cash amount and attaching it to the patient's statement remittance.

Reporting these promptly matters beyond bookkeeping — it's what lets us close a claim out as fully paid instead of leaving it open.

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Q: How often will our patients be billed?

Any patient with a balance due, once their insurance carrier has paid, is billed bi-monthly if you've contracted for this service. Payment plans can be accommodated as well.

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Q: How do you handle non-payment from an insurance carrier? (denials, etc.)

We first determine whether the denial — full or partial — is valid. A valid denial is written off; an invalid one is sent back for reprocessing. Some carriers require the claim to be resubmitted on paper by mail.

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Q: How do you handle non-payment from a patient?

Every practice has a different comfort level here, so we work with you to find an approach that fits — usually a series of statements and friendly follow-up calls first. The goal is protecting the patient relationships you've built, so collections is a last resort, not a first step, and we won't move an account there without you.

If it does get to that point, our Collection Solutions program keeps it low-friction rather than handing patients off to a hard-core agency.

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Q: We prefer to bill our own patients, but want insurance claim processing from you. Do you offer that?

Yes — though we usually suggest letting whichever side already has visibility into account balances handle patient billing too. Since we're already tracking what's been paid on the insurance side, it's typically simplest to let us generate the patient statements as well.

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