With ClaimAssist, cash-based medical practices can:
- Accelerate membership growth by eliminating the ‘double pay’ concern
- Reduce your patients’ costs up to 40-60% by maximizing out-of-network benefits
- Reduce patient attrition by retaining patients who gain insurance
- Dramatically improve member value and enhance patients’ service experience
- Keep administrative costs low by outsourcing the hassles of insurance billing
Grow your practice with ClaimAssist
As providers move into cash-only practice models like Direct Primary Care, patients with health insurance are often reluctant to join because they can’t use their benefits. And, patients that do join, rarely take advantage of available out-of-network benefits because of the complexity and time consuming nature of health insurance billing.
ClaimAssist solves this problem by helping patients maximize insurance reimbursement opportunities. With ClaimAssist, cash-only practices eliminate the ‘double pay’ concern that keeps patients from joining, and significantly improves the value of their membership by reducing patient out-of-pocket costs by up to 40-60%.
Enhance the value and delight your patients
For over 15 years, HMCS has provided expert medical insurance billing services to membership-based practices nationwide. HCMS’ newest service-offering, ClaimAssist, treats patient members with the white glove service they expect. ClaimAssist completes every step of the insurance billing process including claim submission, appeals handling, customer support and payment. All the practice need provide is a superbill.
How It Works – 5 Easy Steps:
- Practice activates ClaimAssist service.
- Patient has billable encounter/visit with the practice.
- Practice uploads patient’s insurance card and superbill into ClaimAssist portal. This enrolls patient in ClaimAssist service.
- ClaimAssist submits claim, provides patient customer support, works denials and advocates for patient.
- Patient receives insurance reimbursement directly
Frequently Asked Questions
What Is ClaimAssist?
ClaimAssist is a full-service health insurance billing service that helps patients of cash-only membership-based medical practices. We work to secure “out of network” insurance reimbursement for services paid for out-of-patient’s-pocket.
How Does ClaimAssist Help My Practice?
ClaimAssist eliminates the #1 barrier insured patients have to joining cash-only membership-based medical practices — paying out-of-pocket. Eliminating this barrier helps practices by: accelerating membership growth, reducing patient costs, and increasing the value of your service offerings.
Who Pays for ClaimAssist, the Practice or the Patient?
The medical practice pays for ClaimAssist, and offers it as an added patient benefit and point of differentiation for their practice.
How Much Does ClaimAssist Cost?
Medical practices pay a small monthly minimum or a per-enrolled-member monthly fee (PEMPM), whichever is greater.
The PEMPM fee ranges from $4-$9 determined by volume of billable visits per month.
Insured patients become an ‘enrolled member’ when their first billable visit is sent to ClaimAssist.
Can I Pass the Cost of ClaimAssist Along to My Patients?
It’s up to you. Membership-based medical practices incorporate ClaimAssist in a variety of ways from simply paying for the service on behalf of their patients, to creating a new membership plans for insured patients that includes ClaimAssist service costs.
Is ClaimAssist a Strong Investment?
Assuming a monthly membership fee of $60.00, ClaimAssist pays for itself when the practice signs up 9 new members.
Even better, those 9 new members that ClaimAssist helped attract add over $5500.00 in new revenue per year.
How Much Do Patients Get Reimbursed For Out Of Network Claims?
It depends on the insurance carrier. Average reimbursement ranges from $40-$80 per billable visit.
Does ClaimAssist Create a Lot of Administrative Overhead for the Practice?
No! ClaimAssist is designed to protect Direct Primary Care practices from the hassles of insurance billing.
The practice need only upload a Superbill for each billable visit into the secure ClaimAssist portal.
ClaimAssist scrubs and submits the claim, works denials and appeals, ensures the patient receives the reimbursement or deductible credit and provides patients with all customer support along the way.
Where Does The Reimbursement Go?
All claims reimbursements go directly to the insured patients.