Faq's
General Questions
Maximum Billing provides medical and dental billing, insurance verification, credentialing, and revenue cycle management services for healthcare providers and practices. Our goal is to help providers streamline administrative processes, reduce claim denials, and improve cash flow.
We work with healthcare providers, group practices, clinics, and healthcare organizations across various specialties.
Simply contact our team for a consultation. We will assess your practice’s needs, discuss your goals, and develop a customized service plan.
Insurance Verification FAQs
Insurance verification is the process of confirming a patient’s insurance coverage, benefits, eligibility, copays, deductibles, and authorization requirements before services are provided.
Accurate insurance verification helps:
- Reduce claim denials
- Improve patient satisfaction
- Minimize billing errors
- Increase reimbursement accuracy
- Prevent unexpected patient balances
Insurance verification should be completed before the patient’s appointment whenever possible.
Typically, we need:
- Patient name
- Date of birth
- Insurance ID number
- Insurance carrier information
- Scheduled service details
We verify benefits for most commercial, government, and managed care insurance plans, depending on provider participation and payer availability.
Yes. We identify whether prior authorization or referrals are required and provide the necessary information to help facilitate the process.
Verification timelines vary by payer, but most verifications are completed within 24–48 hours or sooner when possible.
Medical Billing FAQs
Our billing services include:
- Claim submission
- Payment posting
- Denial management
- Accounts receivable follow-up
- Patient billing
- Insurance follow-up
- Reporting and analytics
We use a proactive approach that includes:
- Insurance verification
- Claim scrubbing
- Coding review support
- Timely claim submission
- Denial tracking and appeals
Claims are submitted Monday, Wednesday, and Friday after services are documented and all required information has been received.
Our team investigates the reason for denial, corrects any issues, submits appeals when appropriate, and follows up with the payer until resolution.
Yes. Through accurate billing, timely follow-up, and accounts receivable management, we help practices improve reimbursement and collections.
Yes. We provide regular reporting that may include:
- Claims status
- Revenue trends
- Accounts receivable aging
- Collection performance
- Denial analysis
We follow industry standards and applicable regulations to safeguard patient and practice information.
Credentialing FAQs
Credentialing is the process of verifying a healthcare provider’s qualifications and enrolling them with insurance payers to participate in provider networks.
Credentialing allows providers to:
- Join insurance networks
- Receive reimbursements from payers
- Maintain compliance with payer requirements
- Expand patient access
We assist with:
- Initial credentialing
- Recredentialing
- Provider enrollment
- CAQH management
- Payer applications
- Practice updates and maintenance
Common requirements include:
- Professional licenses
- DEA registration (if applicable)
- Board certifications
- Malpractice insurance information
- Education and training history
- Work history
- NPI information
Credentialing timelines vary by payer and state but generally range from 60 to 180 days.
Yes. We monitor credentialing deadlines and assist with recredentialing submissions to help prevent network interruptions.
Yes. We can create, update, maintain, and attest CAQH profiles on behalf of providers.
Absolutely. We support individual providers, group practices, and multi-provider organizations.
Payment & Support FAQs
Pricing depends on the services selected, practice size, provider count, and billing volume. Contact us for a customized quote.
Contract terms vary by service package. Our team will review all terms before onboarding.
You can reach our support team by phone or email during business hours for assistance with billing, credentialing, or insurance verification questions.
In many cases, yes. We work with a variety of practice management and EHR platforms and can discuss system compatibility during onboarding.