Author Topic: Invoicing one's Doctor client  (Read 1485 times)


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Invoicing one's Doctor client
« on: October 24, 2011, 11:30:57 AM »
Hello- I've started a new medical billing business, formed a business relationship with a clearinghouse whom I'll be submitting electronic claims to, signed billing agreements with 2 new doctor clients, and have begun submitting claims on there behalf. My billing contract states my company will be paid 7% of all paid claims (for cash customers I collect from, and paid insurance payments). All has gone well so far, I plan to send invoices to my Dr. clients once a month. Questions: should I send out my invoices based upon 1. What my doctor clients have has actually recieved in the 30 day billing cycle? (If so, how can I be sure what my Dr. clients have actually recieved in the last 30 days?) or Should I send my invoices based upon what the insurance companies have approved for payment to the Doctor? 


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Re: Invoicing one's Doctor client
« Reply #1 on: October 25, 2011, 04:51:27 AM »
Hi William, I don't think I will be able to give a firm suggestion for your query, unless I know the scope of services you perform for your clients. If Payment posting and AR Follow-up are part of your scope, then you should be knowing how much payments are posted each day and should be able to generate a report that throws out a number for the month. Moreover, if at all there is a suspicion that some payments are hidden from your knowledge, you can rest assured that those claims will have to come to light when you do follow-up on unpaid claims. Then whichever month the payment is accounted in the system you may bill the client for that. Bottom line is, you can only go by the amount that has been posted in the system (including Patient and Insurance Payments). Hope this clarifies.



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Re: Invoicing one's Doctor client
« Reply #2 on: October 25, 2011, 06:33:48 AM »
Actually you have to refer to your contract. What does your contract state? That is what you need to go by.
Linda Walker
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Re: Invoicing one's Doctor client
« Reply #3 on: October 25, 2011, 11:27:41 AM »
Yes, you need to have spelled out in your contract how you will be charging.  If your contract states 7% of amount collected then you can't go by what is "approved to pay" if it wasn't received yet.
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