Billing and RCM for eye care practices across the United States +1-321-308-9301 info@spophthalmologybilling.com

Patient balances

Patient Billing and Soft Collections

Patient balances have become a larger share of eye care revenue as more patients move to high-deductible health plans. Our soft collections and patient billing service for practices across the USA sends clear statements, follows up with polite reminders and offers payment plans, so balances are paid without damaging the relationship between the patient and the practice.

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  • Statements sent as soon as insurance finishes
  • Friendly reminder cycle by email, text, letter and phone
  • Payment plans and online payment links

Patient Statements That Are Easy to Understand

Patients pay faster when they understand what they owe and why. Every statement we send shows the visit date, the services, what insurance paid and adjusted, and a bold balance due. It lists three ways to pay (an online link, a phone number and a mailing address) and a named contact for questions.

For eye care, statements also separate medical and vision plan activity. A patient who used a vision plan for glasses and medical insurance for a glaucoma visit sees both clearly, instead of one confusing total.

Our Soft Collections Cycle for USA Eye Care Practices

The cycle below runs for every open patient balance at the practices we serve across the USA. Each touch is short and courteous, and each gives the patient an easy way to pay or ask for a plan.

DayTouchChannel
0First statement after insurance finishesMail and email with payment link
15Friendly reminderText or email
30Second statementMail and email
45Courtesy call offering a payment planPhone
60Third statement marked past dueMail and email
75 to 90Final notice letterMail

After the final notice, the account goes back to your practice with a summary of every contact, and your practice decides the next step.

Payment Plans for Large Patient Balances

Some patients cannot pay a large balance at once, especially after cataract surgery with a premium lens or a year of injections with high coinsurance. We set up payment plans within limits your practice approves, with automatic card payments where the patient agrees. A patient on a plan keeps coming back for care, which a patient sent to an agency often does not.

Front Desk Collections at Check-In and Checkout

The cheapest balance to collect is the one paid at check-in. Our eligibility verification service gives your staff an estimate of each patient's share before the visit. We also give front desk staff short, plain scripts for three common conversations.

  • Explaining why refraction (92015) is a separate fee that Medicare does not cover
  • Explaining the difference between the vision plan exam and a medical visit
  • Asking for a deposit on premium lens and refractive surgery upgrades

Good Faith Estimates for Self-Pay Patient Billing

Uninsured and self-pay patients have a right to a good faith estimate of expected charges under the No Surprises Act. This applies to eye care services scheduled in advance, including refractive surgery and self-pay dry eye treatments. We prepare estimates from your fee schedule and keep a copy with the patient account. See LASIK and refractive billing for self-pay surgery.

Monthly Patient Billing and Collections Reports

Each month you receive patient A/R by age, the share of patient balances collected at the visit, payment plan totals and accounts at the end of the soft collection cycle. Patient billing is part of our ophthalmology revenue cycle management service and can also be outsourced on its own.

FAQ

Common Questions

What are soft collections in medical billing?

Soft collections are the practice's own polite efforts to collect patient balances, such as statements, reminders, calls and payment plans, before any account is sent to a collection agency. They do not affect the patient's credit report.

When should a practice send the first patient statement?

Send the first statement as soon as insurance has processed the claim and the patient's share is known. Waiting for a monthly cycle adds weeks and lowers the chance of payment.

How many statements should go out before collections?

Most practices send three statements about 30 days apart, followed by a final notice letter. Only after that does the practice decide whether to use a collection agency, which is a separate step.

What should a patient statement show?

A good patient statement shows the date of service, what was billed, what insurance paid and adjusted, and a clearly marked balance due, with simple ways to pay online, by phone or by mail.

Do you send accounts to collection agencies?

No. We handle soft collections only. When an account reaches the end of the soft collection cycle, we report it to your practice, and you decide whether to write it off or refer it to an agency of your choice.

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See Where Your Revenue Leaks

Send a few details about your practice. A billing specialist reviews your payer mix, denials and A/R aging, then replies within one business day.

  • No contract needed
  • Written findings report
  • HIPAA BAA signed first