A) We can start billing most insurance carriers immediately.  Medicare and Medicaid/Medi-Cal require special authorization and it usually take 2-3 weeks before we can submit claims on your behalf.

Q) What information does our office need to provide GWMB?

A) We need your patient's demographics and insurance information, copy of super bills or charge sheets and any EOBs that come to your office for posting purposes.  

Q) How do we report insurance payments, provide daily bills and patient information to GWMB?

A) Via fax, email, regular mail, or by courier.

Q) How often should we send our new billing to GWMB?

A) We recommend that you send it daily or weekly to ensure a consistent cash flow.  

Q) How often will you submit our claims?

A) We submit all claims within 24-hours of receipt from your office. (Correct patient and insurance information must be provided) 

Q) Where are the reimbursements sent?

A) All reimbursements come directly to your office.   

Q) How do we report co-payments, co-insurance and deductibles collected from patients at the time of their visit?

A) You can report the payments on the super bills at the time of the patient's visit or make a copy of the check and send it to GWMB for posting.

Q) How will you handle billing our patients?

A) We will bill your patients for any balance due. Your patients will receive a comprehensive billing statement with our toll free telephone number to direct all billing questions to our call center. A self-addressed envelope with your practice name and address is included. 

Q) How will you handle non payments from patients?

A) We will contact the patients by phone or letters to resolve their billing issues (soft Collections) and keep the provider updated as to the status of payment. In the event we are unable to effectuate a settlement within ninety days, we will recommend that the delinquent account be sent to a collection agency at the discretion of the medical provider.  

Q) Do you verify patient benefits and eligibility?

A) Yes, at an additional charge of the monthly collectables, we can verify and check your patient’s eligibility and benefits. You need to give us some basic patient and insurance information at least 24 to 48 hours prior to the scheduled appointment and we will fax or e-mail you back the information we obtain. 

Q) How do you handle denials from insurance carriers?

A) We will review the denial to be valid or not. If the denial is not valid we will appeal and resubmit the claim. 

Q) I only need to outsource some of my billing, can you help?

A) Yes, some of our clients only need help with their most troublesome claims, e.g., Medicare, W/C, and Medicaid/Medi-cal, etc.  

Q) How do you charge for your services?

A) Our fee is based on the percentage of revenue you collected from the claims or moneys we billed throughout the month.   

Q) Do you have a start-up fee?

A) Yes, our basic start-up fee is $350.00. This covers the creation of your database, in-put of all of your practice information, creation of in-house forms, establishing connection to Medicare and Medicaid/Medi-Cal, creation of patient statement templates for printing, self-address envelopes, etc. Higher fees apply to larger or very complex practices. 

Q) Do you have a monthly minimum fee?

A) Yes, our monthly minimum is $400.00. We may waive the monthly fee to newly established practices for the first 2-3 months. 

Q) Do you outsource my claims?

A) No, we do not outsource any work to third party companies. All billing in done in our office in Los Angeles, California. 

Q) What if I decide to stop using your services?

A) Unlike other Billing Services, you are not tied to a long-term commitment, and there are no cancellation fees. 

Q) How do you keep my account and patients information safe and secure?

A) We use software, hardware, and strict policies to keep your health information safe and private.

All databases and patient accounts are protected by state-of-the-art technologies, including Secure Socket Layer (SSL) encryption, firewalls, alarms, and other technology built by experts in the security industry. We have extensive backup systems in place to protect the integrity of this information. Our servers are protected by strong physical security at our facility, including pass codes, locks, and security personnel. All data is backed-up on a daily basis and stored in different safe locations. Procedural safeguards are in place to secure that only authorized personnel have access to your database and our staff is bound by strict policies to only disclose private information to authorized parties.  

Q) What medical billing software do you use?

A) We use different software programs, it all depends on the type of billing that we are doing.

Q) What measures are you taking regarding the future implementation of the 5010 ANSI and ICD-10?

A) Due to the complexity of this mandatory project, our software companies have hired computer consultants and programmers to assist us with the implementation and programming of all the new regulations. It is our opinion that the implementation of the 5010 ANSI and transition to the ICD-10 will be costly and challenging to most. Consequently, and because we have experienced similar challenges in the past few years, such as the implementation of the NPI and the recent transition from NHIC to Palmetto GBA in the West, GWMB is taking all possible measures to make this  a smooth transition. Our management team is evaluating and studying the ICD-10 and will keep its clients updated with all new developments on this matter. At this point, we encourage our clients to contact us with any questions or concerns they may have regarding this issue.

Q) Do you offer remote access to the billing system, EMR/EHR, appointment schedulers, etc?

A) Although our software programs have these capabilities, we only focus on billing and collections. However, when a client requires these services we have our software companies host your database. (Additional fees apply)

                                     Call us at 866-354-9633

                                        We have the solution to your billing needs !