Our API has allowed a seamless integration with the Clearinghouse – as soon as an EOB is released, it will be automatically updated in Portia. Payments are automatically reconciled. Reports are simple to understand – the way it should be.
Portia will automatically split codes based on the type of service scheduled, handle rounding rules as per the ABAI guidelines, and stay on top of denied claims for you (with Managed Service).
Portia supports both a dual-tier Managed Service, and a Do it yourself service.
The Do it yourself service is offered at 2% of collected claims, and is ideal for clients who wish to maintain a billing department, handling all billing and claim related activities without Portia intervention. DIY service clients will be responsible for any additional clearinghouse fees on submitted claims.
The Managed Service offering provides Portia billing expertise to manage most billing functions at 4% of collected claims for the entry level tier; at 5% of collected claims Portia will also manage verification of benefits and obtaining authorizations. Managed service clients have any additional clearinghouse fees on claims submitted waived by Portia.
Please contact us today for a quote for Insurance Billing Services*.
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