From 2016 AUBICO primarily provides expert billing and collection services to several, high end, out-of-network behavioral treatment centers. In 2023 our internally developed Machine Learning tools outgrew our needs and thus AUBICO is expanding our client base.
Insurance claims represent a cash flow lifeline for health care providers. Getting paid according to a client’s actual benefits in a timely manner can be frustrating. Our experienced team will help your staff become more efficient, productive and profitable. We strive to become a seamless interface between your office and all revenue sources.
Our team bills over $14,000,000 in out-of-network claims yearly and we strive to make the insurance companies pay every penny possible. For 2020/21/22 average receipts for our clients are at around of 42% for all claims billed charges.
The executive team guiding AUBICO (Sergei Vidov & Joan Borsten) has operated several out-of-network behavioral care treatment centers in California from 2007 on, and intimately knows all of the issues that came up from that time till today as it related to both service and billing.
This executive team, as founding board members initiated creation of Addiciton Treatment Advocacy Coalition (ATAC) in response to Healthnet fiasco, and worked diligently to guide ATAC members in recovery of over $150,000,000.00 due to California treatment centers from Healthnet. (Joan was VP of ATAC and chaired it’s Underpaiments and Billing Commitee. Sergei was ATAC’sTreasurer)
Team’s expertise helped to create legal claims to pursue claims and stale collections against said insurers in court (as well as just regular collections practices) with wins in the millions.
Based on Sergei’s own treatment center (Summit Estate) superb records, several multi-billion class action lawsuits were filed against United and Cigna. link to lawsuits
In 2022 Summit became the primary sponsor of Senator Dave Cortese’s “STATE SENATE BILL 999: California Residential Substance Use Disorder Treatment Patient Safety & Fairness Act” and acting together with Hansei Solutions and Billing Solutions organized support among other treatment centers to advocate for the bill to a multitude of state legislators. https://www.friendsofsb999.org/
Services
AI assisted AUDITING / RECOVERY SERVICE / Claims Reprocessing
Auditing is the basis of AUBICO’s success story. As of 2023 this process is assisted by cutting edge Artificial Intelligence (AI). Our Neural Net model is able to locate the claims that have underpaid, can be renegotiated, or have simply not been billed correctly. Best of all it takes less than several minutes for the Artificial Intelligence model to locate these irregular claims. Our Artificial Intelligence (AI) / Machine Learning (ML) / Deep Learning (DL) tools running on private, air gapped, Neural Network cluster (so client data will not ever be connected to the Internet)
INSURANCE BILLING / PROCESSING CLAIMS
AUBICO clients’ claims are processed within 48-72 hours of the date of service. (allowing for weekends and holidays) The faster these claims the Insurer the faster the turnaround.
INSURANCE COLLECTIONS / FOLLOW UP
The follow-up is of supreme importance to everyone involved. If you don’t get paid, neither do we. The faster the claims process and resolve the faster everyone involved gets paid.
VERIFICATION OF BENEFITS
Our VOB form is a tiny bit different than your average one. Developed over the years to stand up
, starting from 2007 at Malibu Beach Recovery Center and continuing through today for all AUBICO clients
UTILIZATION REVIEW
AGING REPORTS
REIMBURSEMENT / Payment Negotiations
CLINICAL DOCUMENTATION TRAINING
Credentialing Management and Contracting
PPC / SEO MARKETING OVERSIGHT – ACCOUNT BONUS
How well do you understand that your PPC / SEO people tell you? Do you understand all the metrics they are