I was holding off on answering hoping that some others would respond first. Personally we usually go with a flat monthly fee as opposed to a per claim fee. We do some per claim fee accounts, but they are usually small and only have us submitting to one particular carrier such as Medicare. The problem that I see with what you have outlined is that there is no mention of payment posting, tracking the claim. Whose responsibility is it to know if the claim was paid, and paid correctly? Also, for someone coming in for an office visit with Medicare prime and UHC secondary the provider could spend $15 for the one visit. Seems high. ($7 to Medicare + $5 to UHC who usually doesn't pay + $3 to patient). If the provider is billing for a moderate ov they only get $50 so $15 seems rather high. JMO but it seems to be broken down too much.
Any others??