MBM
 

 MBM Services: what you do, what we do In a few words… 
 

       What You Do:
 

• Schedule the patient’s visit 

• Enter the patient’s demographics and any prior authorizations into your EMR system 

• See the patient 

• Enter your notes, code everything, lock your claim--->>You’re finished – we take it from here 

 

                                 

      What We Do:
 

       Before the claim is adjudicated

• Make sure we’re familiar with your local billing guidelines 

• Automate and streamline as many processes as possible (including ERAs – for prompt payment) 

• Review and confirm that CPT codes are appropriate, also known as “scrubbing the claims” 

• Submit scrubbed claims to the clearinghouse (who does an additional scrubbing of the claims) 

• Notify you of any errors or missing information required to get paid 

• Electronically submit your charges through your clearinghouse 

 

       After the claim is adjudicated 

• Reconcile insurance payments 

• Pursue any denied claims (and on occasion, file appeals for “one-time exceptions”) 

• Post insurance payments 

• Bill your secondary insurers 

• If there is any “patient responsibility,” we transfer that to the patient 

• Send statements to the patients (if you want us to) 

• Collect and reconcile patient payments 

• Provide (electronically) detailed monthly reports, including:

• Payments 

• Charges 

• Accounts receivable 

 

Plus: regular, candid and transparent communications