Simple, Fair Fees

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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