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Page 1: Medical Billing Click Here to Search Click Here to Search

Medical BillingMedical Billing

Click Here to SearchClick Here to Search

Page 2: Medical Billing Click Here to Search Click Here to Search

Patient Account ListPatient Account ListPlease find your account Please find your account number to check your claim number to check your claim and/or preauthorization and/or preauthorization statusstatus

58647102724479188072

2698486156285733

97569966104111062910630

83948434911791959691

1084710851108671091811627

20703

Page 3: Medical Billing Click Here to Search Click Here to Search

26982698

• Exam 7/10/08: $47.00 Exam 7/10/08: $47.00 – Sent 7/15/08: no responseSent 7/15/08: no response

Page 4: Medical Billing Click Here to Search Click Here to Search

48614861

• Exam 10/03/08:$148.00Exam 10/03/08:$148.00– Last Sent 11/12/08: no responseLast Sent 11/12/08: no response

• Preauthorization for appliance: Preauthorization for appliance: $800.00$800.00– Last sent 2/3/09:Approved with a Last sent 2/3/09:Approved with a

$1000.00 deductible$1000.00 deductible•Patient payment = $800.00Patient payment = $800.00

Page 5: Medical Billing Click Here to Search Click Here to Search

56285628

• Appliance 12/21/07: $500.00Appliance 12/21/07: $500.00– resent 2/5/09 with correct claim and resent 2/5/09 with correct claim and

letterletter

Page 6: Medical Billing Click Here to Search Click Here to Search

57335733

• Exam 08/06/08: $30.00Exam 08/06/08: $30.00– Sent 9/19/08: denied-no prior Sent 9/19/08: denied-no prior

authorizationauthorization•Patient payment = $30.00 (pd.)Patient payment = $30.00 (pd.)

Page 7: Medical Billing Click Here to Search Click Here to Search

97569756

• Exam 7/7/08: $120.00Exam 7/7/08: $120.00– Last sent 7/15/08: no responseLast sent 7/15/08: no response

Page 8: Medical Billing Click Here to Search Click Here to Search

91179117

• Need Patient’s medical insurance Need Patient’s medical insurance cardcard

Page 9: Medical Billing Click Here to Search Click Here to Search

84348434

• Exam 6/19/08: $47.00Exam 6/19/08: $47.00– Last sent 2/3/09 with form letter: no Last sent 2/3/09 with form letter: no

responseresponse

• Exam 07/28/08: $116.00Exam 07/28/08: $116.00– Last Sent 2/3/09 with description of Last Sent 2/3/09 with description of

services: no responseservices: no response

Page 10: Medical Billing Click Here to Search Click Here to Search

1091810918

• Appliance: $750.00Appliance: $750.00– Medical Insurance: DeniedMedical Insurance: Denied– Dental Insurance: no responseDental Insurance: no response

•Patient Payment: $750.00 (pd.)Patient Payment: $750.00 (pd.)

Page 11: Medical Billing Click Here to Search Click Here to Search

83948394

• Exam 7/7/08: $97.00Exam 7/7/08: $97.00– Last Sent 7/10/08: no responseLast Sent 7/10/08: no response

Page 12: Medical Billing Click Here to Search Click Here to Search

96919691

• Exam 10/17/07: $30.00Exam 10/17/07: $30.00– Sent 07/03/08: Denied- no Sent 07/03/08: Denied- no

preauthorizationpreauthorization

Page 13: Medical Billing Click Here to Search Click Here to Search

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