Welcome to the FRS Self Billing Center
Here are the steps that you should follow :
Please read all the steps before you click on the button for payment.
1.Make payment to Pay Pal for IMC Billing Forms. This gives you only one week
access to this site.
2.Fill out and Send Insurance Confirmation
form by fax and overnight mail to your Insurance Carrier.
3.
IMC Mailing address:3701 Multiview Drive, Los Angeles, CA
900068.
IMC fax number: 323 874 5535.
IMC phone number:323 874 5530
The following documents must be mailed and faxed immediately to the
address listed above :
a) Assignment of Benefit Form
b) Copy of your insurance card
c) Right to Privacy Form
d) Copy of your state drivers license
e) Copy of the confirmation letter got from your insurance carrier in
reply to the Insurance Confirmation Form sent earlier to them.
3. Make sure your carrier immediately sends the Confirmation Letter to IMC.
Make sure this is done the day you send it in. Call your Insurance Carrier every
hour till this is done.
4.Call IMC and confirm if the confirmation( Insurance carrier will send
a confirmation to you as well as IMC ) has been reached. As soon as the confirmation
has taken place you will be given a pass word. This pass word is good for one
week. You must down load and save the billing forms during that week. If you
fail to do this you will have to reorder the forms on Pay Pal again.
5.Submit
a) Your operative report
b) Your pathology report
c) Your letter of necessity
d) Pre authorization documents
and all forms to the carrier.
Do this by fax and registered mail and call to confirm that
these were received. When you mail a copy make sure you staple the pages
up the full side like a book. Insurance carriers often pull pages off and tell
subscribes that pages are lost. If you staple up the side this reduces
the intentional destruction of your document.
Call hourly to confirm your fax and daily on the OVERNIGHT EXPRESS
MAIL to confirm when it is received.
6.Once you received confirmation of documents by carrier send the demand notice
for payment daily via fax and call daily till payment is made to IMC for reimbursement
of fees.
7.Your cases is on the case site for download for operative notes.
8.Read all the letters provided to you on insurance issues and print them now
so that you have them for use later as needed.
9.Other documents for your benefit:
Introduction to Privacy
Right to Expedite Payment
Statement of Truth