| Services and Fees Schedule |
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| Insurance Claims Processing (Paper and/or Electronic).................................................................................................................................$6.00/ea. Patient Statements Billing.............................................................................................................$5.00/ea. Correction and Re-submissioin of Claim (when error is not ours)....................................................$3.00/ea. Insurance Follow-Up (8hrs included)..........................................................................................$15.00/hr. Monthly Management Reports....................................................................................................$10.00/ea. New Patient File Creation............................................................................................................$1.00/ea. Patient Ledgers..........................................................................................................................$1.00/ea. Initial Set-Up Fee.........................................................................................................................$750.00 The intitial set-up fee includes procedure set-up in the office and in Billing Service facilities: Codes, pricing, insurance carriers, and active patient file (within the fiscal year) with current balance of patient account. TERMS: Initial Set-Up Fee due upon acceptance of agreement. All other fees billed bi-monthly and due upon receipt. |
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