Billing companies that work OB/GYN claims every day and take on practices in San Francisco, CA. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
San Francisco is a hard market for an independent OB/GYN. Kaiser holds a big piece of the insured population, UCSF and Sutter's California Pacific campuses hold much of the rest, and rents and salaries make a small private office a serious bet. The practices that survive tend to be boutique or concierge-leaning, with a lot of out-of-network billing and patients who pay up front and file for reimbursement themselves.
Out-of-network billing is a craft. It needs superbills that match what the plan expects, a clear financial agreement signed before the first visit, and someone who will argue with the plan about allowed amounts. Ask a biller how many of their current clients bill out of network, and what they do when a plan pays far below what the patient was told to expect. Also ask about Medi-Cal, because even boutique practices here see some, and the rules are not the same as the commercial side.
Compare other specialties in San Francisco, CA on the San Francisco medical billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in San Francisco, CA.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals