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FREQUESTLY ASKED QUESTIONS

Are there any set up fees? No. all costs of set up are included in the monthly charges. This could include tablet software and the tablet PCs as well, depending on your needs and requirements.

Are there any charges other than the monthly percentage? No. All costs are covered in the monthly fee. There are no additional charges for items such as postage, stationary, office supplies or any other expense.

Why do you charge a percentage and not on a per claim basis? It is ProClaims’ opinion that charging on a percentage of revenue collected basis gives added incentive to do our best for you. Where is the incentive to collect your money, do the extensive follow-up often required, if we have already been paid because we processed a claim. We would rather work harder and collect more funds for you because it is not only better for us, but better for you as well.

Are you HIPAA compliant? Yes, ProClaims follows all of the guidelines required to be compliant with HIPAA (Health Insurance Portability and Accountability Act) rules and regulations, as well as all Federal and State laws.

Will you assist us with paperwork? Yes, if you do not have the necessary Insurance IDs, NPI number or any required documentation to collect your funds, we will complete it for you or work with you to get the proper forms and information where it has to be.

What about training? ProClaims will come to your offices to train your crews on the proper completion of trip sheets to make the billing process go more smoothly, and to help your staff understand the importance of complete and accurate documentation. If you are using an ePCR program we will work with you to develop “closed call rules” that capture all the information needed for billing before the medic can close out the transport.

How do you stay current on changes in the industry? Our staff and management attend seminars and training sessions to remain current. Additionally, ProClaims retains the services of a nationally recognized Medicare Billing specialist who reviews our claims on a regular basis for best practices billing procedures.

How about Electronic Patient Care Reporting, do you do this? ProClaims will work with you to set up the most convenient way for to you to transmit data from your ePCR program to us. We currently work with ZollData, Code Red and ImageTrend.

Additionally, if desired ProClaims can work with you to help you acquire an ePCR program and will work with you to have the cost become part of your monthly fee so there is no upfront cost to you for software.

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911 Holly Hills
St. Louis, MO 63111

Phone: 314.633.3900
Fax: 314.351.9935