Billing and Management Services

Speclin provides professional, electronic claims processing for Emergency Services.  (Claims submission to Medicare, Medicaid, and commercial insurance carriers.)

Speclin has been helping our clients meet their financial challenges since 1989.

  • Speclin obtained a Platinum rating (the highest listing obtainable) with HGSAdministrators (Pennsylvania's contracted Medicare Provider - now Highmark Medicare), during the HIPAA 4010 transition signifying we met or exceeded the most up-to-date electronic filing process and procedures for claim reimbursement.
  • Compliant with the X12N 837P reporting requirements.  *** HIPAA 5010 approved ***
  • Generate the income you need to meet your fiscal planning requirements.
    Fewer claim rejections and faster reimbursements.
    Consulting Service.

Why Speclin Claims Processing?

Speclin fees are all inclusive and based on a percentage of what we collect for you, assuring you that all appropriate follow up is conducted. 

Your decision to utilize Speclin for billing services immediately affords your emergency service all of our experience in claims reimbursement, customer service, and insurance regulation knowledge.  Our pro-active staff assists you with making sure your patient care documentation meets all reimbursement regulatory requirements. 

Our software and data center was specifically developed for Emergency Services Billing and is continually maintained and monitored by our developers. 

This assures that we are always up-to-date with the continual changes and evolution that occurs with billing insurance carriers.  We are already planning for the ANSI X12 version of 5010 electronic data transition that is scheduled as well as implementation of the ICD-10 coding system.

    *** UPDATE September 2011 ***

    We have started submitting production claims in the 5010 Errata format to payers that are currently accepting production claims for 5010. Each payer has a different implementation schedule they are following and when they indicate a readiness for 5010 we will switch those payers to 5010 production as well.

    *** UPDATE May 2011 ***

    We have completed our "In-House" testing for all of the 5010 Errata transaction requirements and are currently submitting test claims to the various payers. Plans are to be submitting production claims in the new format by the end of the third quarter 2011, well ahead of the January 2012 requirement.

EMTs putting patient on ambulanceBenefits include:

  • Assignment of a dedicated billing associate (single point of contact) which has extensive training in the regulatory requirements and has successfully completed specific Medicare Part B educational programs.
  • Electronic receipt of patient charts for processing.
  • Review of patient care documentation to assure it meets all regulatory requirements.
  • Rapid electronic claims processing.
  • Continuous follow up.
  • Patient invoicing.
  • Highest return rate on insurance claims.
  • Toll free phone number.
  • Detailed monthly management reports.
  • Direct deposits to your account.
  • Payment methods: cash, checks/money orders, most major credit cards.

Free Reimbursement/Income Evaluation:

Whether you are currently processing your own claims, outsourcing or just thinking about the billing process, let us provide you a free, no commitment, evaluation of what we project your income should be. 

Complete the available evaluation/information sheet, send it to us and our experts will provide you an estimate of your potential income by having Speclin as your billing agent. 

We will not share or otherwise make available your information to anyone else or any other organization. 

A few minutes of your time to complete this form could prove to be financially beneficial to your operations.

Download Reimbursment Evaluation Form

Speclin works as your partner, always representing your organization in the best possible light.  Our mission is to help you succeed and expand the important work every emergency service organization does for its community.  Contact Speclin today or email SpeclinBilling@Speclin.net.

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 PA Dept of Gneral Services Emergency Vehicles Contract Holder COSTAR