FAQ

Prodigy Billing  Innovations, LLC 

FAQs

Is there any startup cost?

We do not have any start up cost for our billing services. Our credentialing services must be paid upfront before completion of application(s).

Do we need to report insurance/patient payments to you?

Yes. it is crucial to our process and your practice that all reimbursements insurance and patient be reported so that the necessary adjustments can be applied to the account.With our current technology most data will be automated.

What information is need to file a claim?

Information should be provided on a super bill.. We require Patient Name, DOB, address, sex, insurance plan (copy of ID card), date of service, CPTs, ICDs, supplemental and/or secondary insurance information, Authorization numbers, Place of service, Units, Referring providers, rendering providers and facility information. Operative reports, H&P and any other documentation needed for reimbursement. Most EHR can be integrated with Prodigy Billing Innovations to automatically collect this data from your system.

How should our claims be submitted?

We require new claims to be submitted at least weekly preferably through EHR/PM/RCM integration or a secured shared folder. However, we can also accept claims via secure email. If there is a way we can accommodate your needs differently please let us know. Manual retrieval from providers practice management systems will have an additional fee dependent on volume and time spent.

Do you check eligibility?

We do not verify initial eligibility. However, if we receive denials regarding the patients policy and/or  have issues with claim submission we will verify the patients policy for claims submission and reimbursement purposes. If you are in need of an eligibility service please let us know as accommodation can be made. 

Why is Prodigy different?

Our family is experienced in this industry from start to finish. We are 100% dedicated to getting you the maximum reimbursement  with as little stress as possibly. Keeping our clients happy only makes our business better. We are cloud based, 100% virtual, Never outsoured. We utilize live data so that your practice can see your revenue daily. We offer a provider portal directly to our RCM.

Do you send patient statements and collect from patients?

We prefer to bill the patients so that the adjustments are accurately applied to the account. The payments will go directly to you. However, if you already have a system in process we will do our best to meet your needs.