Payer Name: Payer ID:

Frequently Asked Questions

Below please find answers to frequently asked questions, separated into questions for our Medisoft Network Basic Service and for our Premium and Platinum Medical Billing Service.

Premium Service and PremiumPlus Service

What are MBP's fees?

• For a listing of our fees, click here.

Do I have to sign a contract?

• NO. MBP does not require that providers sign a contract with us. We are confident that you will be satisfied with our services and want to continue using our services. The only exception to a signed contact is that providers per HIPAA regulations must sign a Business Associate Agreement. HOWEVER, you do NOT have to sign any contract requiring you to use our services for any length of time like some other billing services require.

Does MBP charge any set-up fees?

• There is an initial set-up fee that must be paid prior to MBP setting a provider up on our system or enrolling the provider for electronic claims.  View the Fees page on our website for all fees, including set-up fees for each level of service.

Do I have to submit a minimum number of claims to MBP?

• NO. Whether you submit one claim per week of 1000 claims per week, MBP can handle your billing needs. MBP welcomes small practices; do not feel that your practice is too small for a billing service.
• However, there is a minimum fee for claim submissions for providers submitting under the standard per-claim fee (rather than prepayment options).
  • For Premium Service, the minimum fee for claim submissions is $69.95 per month.
  • For PremiumPlus Service, the minimum fee for claim submissions is $99.95 per month.

How can I be sure that MBP submits my claims in a timely manner?

• MBP understands that the most important thing for a billing service is to submit claims accurately and in a timely manner. Therefore, MBP offers a claim submission guarantee. Click here for more information on the guarantee.

Do I need special software for you to do our billing?

• NO. Whether you already have Practice Management Software or if you are not computerized at all, MBP can handle your billing. NO COMPUTER IS NEEDED (except for Basic Service providers).

How does my office provide you the information for billing?

• There are several ways providers can provide us the necessary information:
  • The primary way providers submit patient demographics and billing information is by completing ourOnline Patient Form and Online Billing Form, which can be accessed under the Online Forms tab at the top of this website..
  • If your office is computerized, you can probably generate a file of claims (as if you were going to print CMS 1500 forms) or a transaction report. You can send us that file or report by attaching it to a secure, encrypted e-mail you send to us at info@mbpros.com.
  • For providers using one of our EMR Preferred Partners, MBP will obtain all required billing from the EMR program.  For example, MBP will log into your EMR program (EZNotes, WebPT or Valant EMR) and run a weekly report showing all patients with the diagnosis codes and procedure codes the provider selected at the time of the visit.
  • Your office can obtain a secure e-mail access from ZixMail (www.zixcorp.com). Then, you can simply send an e-mail to us at info@mbpros.com and include in the body of the e-mail all patient demographic and billing information.
  • Your office can fax to us any forms you may have, whether computer generated or paper forms. HOWEVER, these forms CANNOT be handwritten. They must either be typewritten forms or computer generated.
  • Your office can mail us the necessary forms as long as the forms are NOT handwritten.

Who receives the payments?

• Your office will receive the payments directly. The time frame for when you receive the payments depends upon whether the claims are submitted electronically or on paper. For electronically received claims, some payments are received by providers within as little as 4 days of submission. For Medicare claims, providers generally receive payments 17 days after submission. As a general rule, electronic claims are paid in the 7-17 day time period.

Does your fee include follow-up of the claims?

• No, BUT...
  • Some billing services charge a percentage of the amount paid by the payer and include follow-up as part of the fee. HOWEVER, in these cases you are paying TOO MUCH. About 90-95% of all claims are processed properly by the payers. For practices submitting 100 claims per week, you should have to follow up on only 5-10% of your claims (approximately 60 minutes of time).

Do you have any references we can contact?

• MBP encourages you to contact some of our references. To see a complete list of references, click here. To see written testimonials from a number of our clients, click here.

Do you have available a list of insurance companies that you submit claims to electronically?

• Visit the Payer Lists page on this website to see a list of commercial payers and government payers to whom MBP can submit electronically.

Does MBP provide us any reports after the claims are submitted?

• After claims are submitted, MBP will provide you via secure e-mail a detailed report of all claims submitted.
• To see a sample Claim Submission Report, click here.
• Providers can also request numerous other special reports. For more information about the available reports, visit the Downloads section of our Support Suite at http://www.medisoftnetwork.com.

How do I get started with MBP?

• To get started, go to the Getting Started page on this website. Complete the form AND complete the Business Associate Agreement.
• We will then send an invoice via email and fax for the set-up fee of $99.95. Providers will be able to pay this invoice online with a credit card securely or you can mail us a check.
• Once payment for the set-up fee has been received, we can submit claims immediately for all payers EXCEPT for those requiring signed agreements (like Blue Cross/Blue Shield, Medicare and Medicaid). Approval time for payers requiring signed agreements is approximately 2-4 weeks.

Medisoft Network Basic Service Frequently Asked Questions

Do I need to purchase software to use the Medisoft Network Basic Service?

• For access to our Network, you must own a licensed copy of Medisoft and provide Medical Billing Professionals with your Medisoft serial number.

• If you do not own a licensed copy of Medisoft, you can purchase Medisoft Basic for only $499.95 as a requirement for accessing our Network.

• If you require more than one person accessing the system at the same time, you may purchase additional user licenses for $159.95 each.

• Access to our server is via Remote Desktop Web Connection (Terminal Services). You will also need Internet access (high-speed recommended). So, you can access our Network from any computer with Internet access--your office, your home, even while you're on vacation.

What are the costs for the Medisoft Network Basic Service?

• MBP will submit your electronic claims for 42 cents per claim and your paper claims for 55 cents per claim. A minimum fee of $79.95 per month applies to claim submissions.
• Claims will be submitted weekly. Providers can always request a supplemental claim submission for $9.95 plus the per-claim pricing.
• MBP provides the first month of support for free. After the first month, you can choose our optional Support for $24.95 per month. This allows unlimited support inquiries through our Support Suite at www.medisoftnetwork.com. Note that support does not include training, Custom Report designing or printing/hardware issues.
• There is an initial set-up fee of $99.95 that must be paid prior to MBP setting a provider up on our system or enrolling the provider for electronic claims.

Can I print my own paper claims?

• Yes. You can have MBP only send your electronic claims, and you can send your own paper claims.

How do I know which payers accept electronically when I set an insurance company up in the Medisoft Network?

• MBP encourages you to constantly check our Payer Lists page. From this page, you can view a complete list of commercial payers and government payers to whom MBP can submit electronically. In addition, you can also search by Payer Name. If you know the Payer ID number, you can also search by Payer ID number.

How many people can log in under a user license?

• One. A user license allows you to select one login user name and one password. If one person is logged in under this user name and someone else in your office attempts to log in under the same user name, the first person will be disconnected from the system. If your office needs more than one person to access the system at a given time, you may want to consider purchasing additional user licenses for $159.95 each. In addition, for each additional user, a $4.95 per month network access fee applies.

Does MBP backup my data?

• Yes, we provide continuous 24 x 7 backup of your data securely offsite through www.livevault.com.
• In addition, we provide daily offsite backup of your data.

Is the Medisoft Network secure?

• Yes, the system provides 128-bit encryption, which complies with HIPAA regulations and is the same level of encryption that banks use for their financial records.
• In addition, MBP utilizes dual layers of login and password protection.

How do I know if there are any problems with my claims?

• Many payers will return electronic reports if there are any problems with claims (such as a patient's ID number is not found on file). For our Basic Service Providers, MBP offers an online reporting system whereby MBP will provide you securely online for only $5.95 per month any rejection reports returned by payers.

• Claim Scrubbing: When your claims are correct the first time they are sent, you get paid faster. To help you get paid faster and with maximum reimbursement, MBP offers the following claim scrubbing option:

  • HIPAA Edits: For only $7.95 per month, the program will check to ensure that certain HIPAA required fields (such as birth date and relationship to insured) are properly populated. For claims with errors, you will receive a report of these claims so you can correct them prior to submission. This reduces the number of denied claims, allows you to get paid faster and allows for more reimbursement.

Does MBP provide training of the Medisoft Network with the first month of free support?

• No. Although we will be happy to answer specific questions, we cannot train you on the Medisoft Network as part of the support option. We do offer Online Training ($169.95 for 1 hour, $399.95 for 3 hours).
• MBP does offer online video training for $25 per month or $199 per year.  For more information and to see sample videos, go to:  http://learnmedisoft.com/home?286809979.
• In addition, you can view and download the Medisoft User Manual on the Downloads page of our Support Suite at www.medisoftnetwork.com
• Finally, MBP encourages our clients to use the Help Menu in Medisoft, which will answer most of your questions. In addition, please visit our Knowledge Base at www.medisoftnetwork.com, which also provides answers to many questions.

How long does it take to get set up on the Medisoft Network?

• In order to be set up on our Network, your office would have to complete our online Getting Started Form providing us information about your practice.
• We will then send an invoice via email and fax for the set-up fee of $99.95. Providers will be able to pay this invoice online with a credit card securely or you can mail us a check.
• Once payment for the set-up has been received, you will be set up on our network within usually 2-3 hours.
• Some payers (such as Blue Cross Blue Shield, Medicare and Medicaid) require enrollment in order to submit electronically. Approval time for sending electronically to these payers varies. If MBP has a direct connection with the payer, approval usually takes 1 week. For most other payers, though, that require enrollment, approval can take 2-4 weeks.
• Claims to almost all commercial carriers (like Aetna, Cigna and United Healthcare) can be submitted immediately.

How can we get started using the Medisoft Network?

• To get started, go to the Getting Started page on this website. Complete the form AND complete the Business Associate Agreement.
• Remember, you must own a licensed copy of Medisoft to have access to our Medisoft Network. If you do not own Medisoft, you can purchase Medisoft Basic for $499 from our Platinum Medisoft Reseller, JB Medical Management.