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AllMedFund - How the Program Works
AllMedFund™ by Unalisys - a member of the Glenwood Group

AllMedFund™: How the Program Works


Unlike most medical working capital solutions, AllMedFund encompasses both patient and 3rd party insurance receivables. This specially designed medical working capital solution works as follows:

1. To initially get set up on the program, a member of an AMF representative will visit your practice and do a brief consultation to determine:
a) Your practice cash flow needs
b) Your percentage of insurance receivables
c) Your percentage of patient receivables
d) Your medical billing practices

2. If together you agree that the AllMedFund™ product is a good fit for your practice, then:
a) You will be assisted in filling out a one page application and providing other pertinent information to set up your AllMedFund™ account.
b) A closing will then be scheduled at which time the appropriate papers will be signed and specific processes will be established to meet the needs of your practice.

3. Once you are set up on the program, you will be given a secure password and will then have access to your personalized online AllMedFund™ account. Through your secure online account, you will be able to:
a) Submit your insurance invoice(s)/account information
b) Submit your patient co-pay and deductible account information
c) Request an advance of up to 85% of the net realized value of your insurance receivables. You are not forced to advance on your claims when they are submitted and you are not forced to advance on all of your claims. You request the amount of money that you need — when you need it.
d) Request money up front on your patient receivables (a certain pre-established percentage based on the credit strength of your patient pool).
e) Access real time information regarding patient and insurance funding, patient and insurance collections, patient and insurance payments, etc.

4. When insurance company payments are received, AMF subtracts the amount already advanced you as well as a small fee for the transaction — the rest of the money is yours.

5. When patient payments are received, AMF applies the payment against the patient borrowing base, thus freeing up additional room on the line.

6. AMF's experienced medical billing personnel will actively collect on all insurance receivables, making sure that claims are billed and processed correctly, thus speeding up collections and bringing optimal efficiency into the billing cycle.

7. AMF's experienced medical personnel staff will sensitively notify patients of the amount due and work with patients to pay the balance owed, thus speeding up the collection process and keeping you, the doctor, out of the collection business.

The program works as follows:

I. Provider or Provider’s billing company generates claim(s) and submits to AllMedFund™ (AMF)

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Provider

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Claims

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AllMedFund™

II. AllMedFund™ validates each individual claim
     a. Validated claims go into the Provider's AMF account
 

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AllMedFund™

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Validated Claims

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AMF Account

 
     b. Un-validated Claims are fixed and the process goes back to Step 1
 

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AllMedFund™

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Un-validated Claims

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Provider

 
III. AMF electronically submits validated claim(s) to Insurance Company
 

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AllMedFund™

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Validated Claims

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Insurance Co.

IV. AMF calculates the Net Realized Value (NRV) of the claim and prepares an "estimated" patient statement to be sent to patient
 

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AllMedFund™

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Estimated Patient Statement

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Patient

 
V. At Provider's request, AMF advances 65%-90%* of the Net Realized Value (NRV) of validated claims to Provider.
*depending on specialty
 

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AllMedFund™

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65%-90% of NRV

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Provider

 
VI. AMF follows up on claims with Insurance Company to speed up the collections process
 

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AllMedFund™

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Claims

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Insurance Co.

 
VII. Insurance Company remits payment to AMF lockbox. Electronic EOB is transmitted to AMF and Provider
 

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Insurance Co.

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Payment & EOB

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AllMedFund™

 
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EOB

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Provider

VIII. AMF subtracts its fees from payment, after posting payment in the AMF system, and rebate is paid to Provider
 

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AllMedFund™

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Rebate

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Provider

 
IX. AMF adjusts "estimated" patient statement and generates "actual" patient invoice to be sent to Patient
 

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AllMedFund™

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Patient Invoice

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Patient

 
X. AMF loans money to Provider against Patient invoices
(percentage determined by aging of patient invoice pool)
 

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AllMedFund™

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Loan against Patient Invoice(s)

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Provider

 
XI. AMF carefully follows up with Patients to collect on Patient Invoices
 

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AllMedFund™

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Patient Invoice Follow-up

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Patient

 
XII. Patient pays invoice directly to the AMF
 

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Patient

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100% Invoice Payment

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AllMedFund™

 
XIII. AMF subtracts its fees from patient payment and pays rebate to Provider
 

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AllMedFund™

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Rebate

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Provider

 


8. In summary, you receive the amount of money up-front that you need to do what you do best – take care of patients.

What AllMedFund™ does for you:


  • Customer Support
    Your own personal customer support team
  • Pre-funding Claim Verification
    Automated claim filtering process provides a check and balance against actual billing
  • Online Funding Request
    Receive funds as needed using a secure internet site
  • Collections Assistance
    Claims validation and experienced professionals increase collections
  • Reporting
    Real time reporting of your claims status
  • Payment Posting
    Payments posted the day they arrive
  • Complete Claim Visibility
    Complete real-time visibility into the system at all times


Having adequate cash, when you need it, is the secret to building any practice. See how the following practice was helped with this powerful cash flow solution.

Case Study:
»   Medical Group Success