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Required Fees
| LCB Account Start-Up |
$100.00 |
adding provider info to software and provider onboarding session |
| Claims Management |
12% |
submission, correction if biller error, and payment posting |
| Out-of-Network Submission Fee |
$15.00 |
per claim at time of submission (plus 12% on claims management) |
| Denied Claims (In-Network Only) |
$15.00 |
per denied in-network claim when the whole date of service does not pay |
Optional Credentialing Tasks
| In-Network Contract – Provider |
$150.00 |
per insurance company, per provider, per state |
| In-Network Contract – Group |
$100.00 |
per insurance company, per provider, per state |
| Address, Name, or EIN Change |
$50.00 |
per incident charge, per insurance company |
| Out-of-Network Payer Registration |
$50.00 |
per incident charge, per insurance company |
| NPI Setup |
$35.00 |
one time charge |
| CAQH Setup |
$150.00 |
one time charge |
| CAQH Maintenance |
$75.00 |
annually |
| Payer Portal Setup |
$75.00 |
per incident charge, per network |
| Electronic Funds Transfer Setup |
$50.00 |
per incident charge, per insurance company |
Optional Practice Assistance
| Verification of Benefits |
$30.00 |
per incident charge to confirm patient’s insurance coverage |
| In-Network Gap Exception |
$50.00 |
per incident, includes verification of benefits |
| Pre-Authorization |
$50.00 |
per incident, includes verification of benefits |
| Practice Management |
$4.00 |
per claim to transfer data in consultant’s EMR to LCB |
| Explanation of Benefits (EOB) Filing |
$25.00 |
per month, per provider to store your EOBs, properly labeled |
Optional Claims Assistance
| Basic Appeals |
$0 |
as needed phone calls for claims reconsideration, no charge |
| Second Level Appeals |
$55.00 |
per hour, for forms and letters management |
| Sending Medical Records to a Payer |
$25.00 |
per patient, separate notes for mother’s and baby’s charts |
Legal and Late Payments
| Legal Issues |
$275.00 |
per hour, when requested by client to participate in a lawsuit |
| Late Payment or Credit Card Denied |
$25.00 |
per billing cycle if bill is unpaid |
