Why Bela Claim

How to choose a medical billing company, and how we answer

Many billing companies promise faster payments. The better test is how clearly a company answers practical questions about who does the work, what you will see and what happens when something goes wrong. Here are the eight we would ask, with our answers.

Eight questions to ask any billing partner

Question to askWhy it mattersBela Claim’s answer
Who will actually work on our accounts?You should know whether one named person or a rotating pool handles your claims.In the consultation we explain who would work your accounts under the model you choose, and how cover works when that person is away.
What exactly is in scope, and what stays with us?Vague scope is where billing relationships fail.We agree the scope before work starts: which steps we own, which stay with your staff, and which decisions always come back to you.
What will we see, and how often?If you cannot see denials and aging AR, you cannot judge the work.What reports include and how often you receive them is agreed during setup. Typical contents are claims, payments, denials by reason, AR by age and payer, and open decisions.
How are denials handled?Resubmitting without fixing the cause wastes weeks.Every denial is categorized by reason and worked. Repeating causes are reported to you so they can be fixed upstream.
How is patient and practice information protected?In the U.S., HIPAA requires a business associate agreement before a billing company handles protected health information.We discuss the agreements, system access and information handling your practice requires before any account access is set up, and we do not ask for patient details during the sales conversation.
Do you know our specialty?Specialty rules drive many denials.Our initial focus is primary care and family medicine, and psychology and mental health. Outside those, we tell you plainly whether we are a fit.
Can we start small?A large handover on day one is a risk for any practice.Yes. Many practices start with a dedicated biller or a defined backlog, then widen the scope once they see the results.
What happens if we decide to stop?Your billing must keep running without the partner.Your practice keeps ownership of its systems and payer accounts, and the account notes stay in your system so your next biller can pick up where we left off. Exit and handover terms are discussed before work starts.

How we work

Plain reporting

Reports you can read in minutes, focused on what came in, what is stuck and what you need to decide. See what a report includes.

Fix causes, not just claims

Repeating denials are grouped and traced back to the step that caused them, whether that is the front desk, documentation or a payer rule.

Choosing a billing partner

How do I choose a medical billing company?

Ask who will work your accounts, what is in scope, what reports you will receive and how often, how denials are handled, how patient information is protected, whether they know your specialty, whether you can start small, and what happens if you stop. Compare the written answers, not the sales pitch.

What should a medical billing company report to a practice?

At minimum: claims submitted, payments posted by payer, denials by reason with the action taken, accounts receivable by age and payer, patient balances, and a list of decisions the practice needs to make.

Ask us these questions directly

Use the free 30-minute consultation to put these eight questions to us for your own practice. We will answer them for your specialty, volume and payers.