MediClaims Billing LLC
Service Agreement
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MediClaims Billing Service Agreement
This Service Agreement is entered into between MediClaims Billing LLC (hereinafter "MediClaims") and your company (hereinafter “the Client”), both collectively referred to as "the parties".
WHEREAS, MediClaims is a healthcare billing and service company which provides claims billing services to healthcare providers and which files medical insurance claims on behalf of healthcare providers by electronic and paper means; and
WHEREAS, the Client desires to retain MediClaims to provide claims and billing services, whereby MediClaims will file insurance claims with government and commercial companies by electronic and paper means on behalf of the Client;
NOW, THEREFORE, in consideration of the promises and covenants contained herein and for other valuable consideration, the receipt and adequacy of which is hereby acknowledged, the parties agree as follows:
This Service Agreement is entered into between MediClaims Billing LLC (hereinafter "MediClaims") and your company (hereinafter “the Client”), both collectively referred to as "the parties".
WHEREAS, MediClaims is a healthcare billing and service company which provides claims billing services to healthcare providers and which files medical insurance claims on behalf of healthcare providers by electronic and paper means; and
WHEREAS, the Client desires to retain MediClaims to provide claims and billing services, whereby MediClaims will file insurance claims with government and commercial companies by electronic and paper means on behalf of the Client;
NOW, THEREFORE, in consideration of the promises and covenants contained herein and for other valuable consideration, the receipt and adequacy of which is hereby acknowledged, the parties agree as follows:
- Commencing on the date this agreement is signed, MediClaims will begin the process of setting up the Client's healthcare insurance claims for payment by government and commercial companies by either electronic or paper means. The Client agrees to make available to MediClaims all information necessary to properly process the Client's claims and to submit all such billing and insurance information to MediClaims on a daily, weekly, or monthly schedule. In return, MediClaims will process and submit all the Client’s claims by electronic means wherever possible, and by paper means otherwise.
- All patient information and data provided by the Client to MediClaims shall be kept strictly confidential and shall not be disclosed to anyone outside of MediClaims other than to the extent necessary for MediClaims to process and submit claims for the Client. In addition, the Client will not divulge the contents, terms or conditions of this Service Agreement to any third party without the express written consent of MediClaims.
- The Client will pay to MediClaims a one-time nonrefundable account setup fee of $100 to cover the operation cost of gathering information from the Client and setting up the Client's files for entry into the MediClaims claims processing system. The information and initial setup covered by this initial fee includes, but is not limited to, provider and Facility profile; listing of insurance companies used; diagnosis codes; procedure codes; registration with the MediClaims processing system, etc.
- The Client will pay to MediClaims a minimum weekly flat-rate fee of $250 to keep the account active. The actual invoiced flat-rate fee is determined before services start and is agreed upon in writing by the parties after determining the the Client's claims processing needs. The Client agrees to provide copies of all Explanation of Benefits (EOB) forms received from insurance payers to MediClaims to verify claims processing.
- MediClaims shall provide to Client a report as claims are posted. The report will be sent from a secure MediClaims email and must be received by the Client on the Client's secure email to ensure HIPAA compliance.