Transparent Medical Billing Pricing for Providers

Unlike other billing companies that charge 3-5% per claim or require a minimum monthly fee of $500, whether or not your practice gets paid, Elite Billing Service charges a total percentage of the payments applied for the month. This ensures you only pay for what you earn, making it a cost-effective solution for your practice and a clear win for your bottom line.

Services We Provide

We manage your practice's billing needs, including:

• Patient Account Management: We manage all accounts billed and processed by EBS.

• Data Management: We maintain accurate patient demographics and charge data.

• Third-Party Billing: We post third-party billing transactions and process weekly insurance claims.

• Monthly Reports: We prepare and send monthly patient statements and transaction reports.

• Patient Intake Forms: Customized forms are available upon request. ($275 fee if the contract ends and forms are purchased.)

• Appointment Scheduling: We offer appointment scheduling services for $50/month per provider, including managing appointments on your behalf.

• Benefits & Eligibility Checks: We verify insurance benefits and eligibility at $15 per patient.

• Software Integration: If you don’t use EBS software, IT setup charges apply when integrating your existing billing software.

Our Service Fees

Capitated Accounts (8% Fee)

• Applies to: All payments including insurance payments, patient copays, coinsurance, deductibles, and monies collected by outside agencies.

• Includes:

  • Additional payments are discovered after initial billing.

  • Provider-instructed adjustments or write-offs.

  • Claims denied due to late patient information from your practice.

Fee-for-Service Accounts (10% Fee)

• Applies to: All payments collected, including insurance payments, co-pays, co-insurance, deductibles, and collections.

• Includes:

  • Additional payments are discovered after initial billing.

  • Provider-instructed adjustments or write-offs.

  • Claims denied due to late patient information from your practice.

• Note:
  If your software cannot separate private pay from patient co-pays, all payments will be included in the total. If payments can’t be separated as “applied” versus “collected,” everything will be included.

Consulting & Special Projects

• Hourly Rate: $75 for any additional consulting or special projects (e.g., practice setup, custom provider requests, contracting/credentialing, contract follow-up).

Postage Reimbursement

• We will bill for postage costs associated with sending patient statements.

• Charges from clearinghouses (e.g., Office Ally) for postage will be billed separately.

Additional Fees

• Transferred Unpaid Claims

  • 8.5% service fee for processing transferred claims, including resubmissions or appeals. After 60 days, pre-contract claims will be charged a 10% service fee.

• Insurance Company Insolvency

  • If an insurance company goes out of business, we will charge 5% of the standard service fee for any unpaid claims.