Primrose Vs Traditional Billing

Modern. Improved.
Elegant way of billing.

Are you relying on your colleagues and friends to tell you their favorite billing company? What if we were to lay out the facts so you can make the right decision for your practice?

Basic Billing functions

Area	Traditional billing company	Primrose	Advantage
Office Claims	Yes Create claims following payer specifications.	Yes Create claims following payer specifications.	Both
Filing	Yes File claims to insurance companies electronically or on paper.	Yes File claims to insurance companies electronically or on paper.	Both
Remit Posting	Yes Post EOBs and ERAs from payers.	Yes Post EOBs and ERAs from payers.	Both
Unpaid claims	Yes Call or trace claims missing remits from insurance companies.	Yes Call or trace claims missing remits from insurance companies.	Both
Statements	Yes Patient statements are typically included at no additional cost	Yes Patient statements are typically included at no additional cost ¹	Both
Credentialing	Maybe Billing companies will do credentialing for a nominal cost. Check out actual fees	Maybe We absorb the cost of credentialing but it requires a 2-year commitment to spread our costs.	Both
Check depositing	Maybe Billing companies may deposit your checks.	Yes Primrose deposits checks saving you trips to your bank ¹	Both
Patient calls	Yes Handle all incoming patient calls with questions on balance and take payments over the phone.	Yes Handle all incoming patient calls with questions on balance and take payments over the phone.	Both
Mail processing	Yes Billing companies typically receive and process all incoming mail, including EOBS. .	Yes We set up a dropbox to receive and process all incoming mail including EOBS. ¹	Both
Startup fees	Maybe Some billing companies have set up fees. Find out ahead of time	No Primrose does not have startup fees.	Primrose
Lockin period	Maybe Billing companies typically require a 2-year commitment.	No Primrose does not require a commitment. Due to the additional effort involved with startup clinics, we do require a 2-year commitment if you want subsidized pricing.	Primrose
Appeals	All-in-One Billing companies typically assign one staff to a clinic and they may work appeals over time.	Specialized Primrose has a dedicated AR team that specializes in its own domain and gains expertise in appeals. ¹	Primrose
Continuity	Individual Billing companies typically assign an individual. When that staff leaves, practices are often left in a crisis.	Teams Primrose uses a team-based approach with cross-trained staff; if one staff leaves, it has no impact on the overall performance	Primrose
Revenue	Limited-to-No impact Follow basic billing and focus on collecting revenue on the easy claims.	High impact We have developed multiple strategies to maximize your revenue. ¹	Primrose
Transparency	Minimal You may receive a printed monthly report with no visibility into your data.	High You get real-time access to view reports through Dashboard or mobile app	Primrose
Scrubber Validation	Basic Billing companies lack the ability to update rules in their software.	Yes Primrose constantly updates our scrubber with new payor edits to reduce denials.	Primrose
Prior Auth	No Vendors do not support prior authorization.	Yes We get prior auth for tests, procedures and surgeries. Our staff takes up the workload ¹	Primrose
Coding	Maybe Most do not have coders on staff leading to lost revenue.	Yes We have experienced specialty coders for all hospital procedures and surgeries. ¹	Primrose
Eliminate scans	No You or your staff will need to scan and email papers to billing companies	Yes You can scan and upload documents through our software	Primrose
Bank reconciliation	No Even a few missing checks could result in thousands of dollars in lost revenue	Yes We reconcile bank statements with our records and track any missing payments¹	Primrose
Balance reminders	No Your staff will need to manually call patients to remind them of their balance.	Yes We can turn on balance reminder calls to remind your patients of their balance	Primrose
Dunning letters	No Your staff will need to manually create and send out dunning letters if their balance is seriously past due.	Yes We can turn on the dunning sequence for patients whose balances are past due.	Primrose
Facility facesheets	No You or your staff will need to print and mail them to the billing company.	Yes Our charge capture app allows you to take a picture of the facesheet and our team enters the data ¹	Primrose

¹ - feature is available only in our Premium & Enterprise plans. Click to view our plans

Core Software

Area	Traditional billing company	Primrose	Advantage
EMR	Yes You pick the EMR software of your choice.	No You pick the EMR software of your choice.	EMR vendors
Portal	No A traditional biller doesn’t have patient portal software and suggest you use outdated EMR portals.	No Your EMR vendor will provide a patient portal that ties into their EMR. We use other ways to SMS & calls to communicate with your patients.	Primrose
Scheduler	No You would pick your own EMR scheduler software; but they lack features that practices need to succeed in the current digital environment.	Yes Primrose scheduler has a lot of patient collaboration built in to reduce your staffing costs.	Primrose
Billing	No Billing companies use off-the-shelf software products which lack revenue-maximizing features.	Yes Primrose perfected their billing software over the 15 years to maximize your revenue. Billing software is bundled into the billing service	Primrose
Dashboard	No Billing companies provide basic reporting and lack transparency.	Yes Our dashboard is built to get practice-wide metrics and help manage your practice. It has specific reports, graphs and views to understand how your services are performing. You can also easily export data for specific analysis.	Primrose
Mobile app	No Billing companies do not offer an app.	Yes Our mobile app is fast and efficient. Reporting module allows providers to monitor their revenue. You can review any patient history using that module. Rounding module is built for facility-based providers to capture charges.	Primrose

Previsit Services

Area	Traditional billing company	Primrose	Advantage
Reminders	No Scope of billing companies exclude pre-visit services	Yes Built-in feature; Default with all plans; no additional fee	Primrose
Eligibility	Maybe Scope of billing companies exclude pre-visit services	Yes Default in Premium & Enterprise plan at no additional fee	Primrose
Estimation	No Scope of billing companies exclude pre-visit services. Your frontdesk staff does not know or is reluctant to collect money upfront. Increased high deductible plans result in thousands of dollars being lost.	Yes We estimate what the patient will owe at the time of the visit giving the frontdesk staff the confidence to collect. Fees apply*	Primrose
Checkin	No Scope of billing companies exclude pre-visit services.	Yes Our check-in feature allows patients to check-in the day before, review insurance. This eliminates the check-in process at the office.	Primrose
Collect copays	No Scope of billing companies exclude pre-visit services.	Yes As a part of the check-in we collect copays and deductibles. Combining Estimation significantly improves your upfront collection for tests and procedures.	Primrose
Self service	Limited Scope of billing companies exclude pre-visit & self-service options.	Yes Along with reminders, we also allow patients to manage their own appointments.	Primrose
Messaging	Limited Scope of billing companies exclude pre-visit & messaging services.	SMS-based Our system allows you to message patients, send documents & images securely	Primrose
Prior Auth	No Scope of billing companies exclude pre-visit services.	Yes We get prior authorization for tests, procedures and surgeries. Your savings will be significant as our staff takes up the workload ¹y	Primrose
Reviews	No Scope of billing companies exclude pre-visit & review services.	Yes We remind patients to leave a reminder after their appointment to dramatically increase your Google reviews	Primrose

Setup & Support Services

Area	Traditional billing company	Primrose	Advantage
Support	Varies Billing companies have different support models based on their size and business model.	Account Management We assign an account manager in our Premium & Enterprise plans who is knowledgeable about your account. We also have an Essentials plan with a regular customer service model to reduce costs for smaller practices.	Primrose
Training	No Billing companies typically do not allow you to access their software and hence provide no training	Yes Primrose trains on our platform so that your is familiar with our practice management platform	Both
Implementation	No Transitioning billing can be tricky, and your experience will vary significantly based on the billing company	Yes Primrose has a proven implementation process, tracked over the first 6 months to ensure that there is no gap in revenue³	Traditional billing company
EDI	Yes Billing company will set up electronic transactions with insurance companies	Yes Primrose sets up & manages all electronic transactions	Traditional billing company
Old AR	Varies Billing companies differ in their policy with Old A/R. Some will take on old A/R while many won't. Check with your billing company	Yes Our team loads and works unpaid insurance receivables.	Primrose
Remit Address	No Billing companies typically change the remit address so remits go to them. Check with your billing company.	Yes We change the remit address so that remits come to our processing location ¹	Primrose
Turn around	Fast resolution You are assigned a biller and typically that staff can quickly resolve open issues	Fast resolution Primrose premium plans assign account managers that take cross-functional team support to resolve issues quickly	Primrose
Custom Reports	No Billing companies do not have the ability to generate custom reports	Yes Primrose allows you to export data easily from our practice management software. We support custom report generation with our premium plans. See details here.	Primrose

¹ - feature is available only in our Premium & Enterprise plans. Click to view our plans

³ - Assumes that Primrose gets sufficient lead time to transition billing service

“ I used an inhouse biller the first year of my practice and then switched to a top EMR vendor for the next year. Both attempts failed and I have been using Primrose over the last 5 years and I couldn’t be happier with their solution. Recommended ”

Sunnyvale Cardiology

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