Terms for Using our Services

Terms and Conditions

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These are the terms under which 711 MBS provides its services. Please read them carefully. Once you sign a Service Agreement with us or start working with our team, you are agreeing to what is written here. If anything is unclear, just reach out before you sign — we are happy to walk you through it.

Our Services

711 MBS provides medical billing and revenue cycle services to healthcare practices. The services covered under your agreement may include:

  • Medical billing, claim submission, and follow-up with insurance payers
  • Patient insurance eligibility verification
  • Medical coding review (ICD-10, CPT, HCPCS) and coding audits
  • Denial management and claims appeals
  • Secondary insurance billing
  • Provider credentialing and payer enrollment
  • Practice management consulting
  • Accounting and financial reporting services
  • Access to reporting through our secure web portal
Only the services listed in your signed Service Agreement are included. Anything additional needs to be agreed upon in writing.

Only the services listed in your signed Service Agreement are included. Anything additional needs to be agreed upon in writing.

What we Need from You

To carry out our work properly, we ask that you:

  • Provide accurate patient, insurance, and encounter information on time
  • Inform us of any changes to your practice, providers, or insurance contracts
  • Give us access to your practice management system and relevant payer portals
  • Assign a point of contact on your team for regular communication
  • Respond to requests for documentation when needed for appeals
  • Ensure all providers are credentialed before billing begins

Claim denials or delays caused by incomplete or inaccurate information provided by the client are not the responsibility of 711 MBS.

Fees and Invoicing

Our fees are based on a percentage of your collections, as stated in your Service Agreement.

  • Invoices are issued at the start of each month
  • Payment is due within 15 business days of the invoice date
  • Overdue balances are subject to a finance charge of 1.5% per month
  • Setup fees, where applicable, are non-refundable and due at signing
  • Additional services such as credentialing or coding audits are billed separately

Any changes to our fee structure will be communicated in writing at least 30 days in advance.

Expectations

711 MBS will make every effort to submit accurate claims and follow up until payment is received. However:

  • Payment decisions are made by insurance payers, not by 711 MBS
  • We do not verify or review the clinical content of your documentation
  • The accuracy of medical records and clinical notes is the client’s responsibility
  • We will follow up on unpaid claims, but will not pursue claims that are non-payable for valid reasons such as lapsed coverage or exhausted benefits

Compliane

Both parties agree to operate in accordance with all applicable healthcare laws and regulations, including:

  • HIPAA (Health Insurance Portability and Accountability Act)
  • The False Claims Act and the Anti-Kickback Statute
  • Medicare and Medicaid billing guidelines issued by CMS
  • ICD-10, CPT, and HCPCS coding standards
  • State-specific healthcare billing and privacy laws applicable to the client’s location

Patient Data and HIPPA

711 MBS operates as a Business Associate under HIPAA. Before any patient information is shared, a Business Associate Agreement (BAA) must be signed by both parties.

  • Patient data is used only for the purpose of providing agreed services
  • All data is stored and accessed through a secure portal
  • All staff with access to patient data are bound by confidentiality agreements
  • In the event of a data breach, the client will be notified within 60 days
  • Confidentiality obligations remain in effect for six years after the agreement ends

Upon termination, all patient data held by 711 MBS will be returned or securely destroyed within 30 days.

Our Liability

711 MBS is committed to delivering quality service. In the event of a dispute over damages:

  • Our total liability will not exceed the fees paid by the client in the three months prior to the claim
  • We are not responsible for indirect or consequential losses
  • We are not liable for losses resulting from the client’s failure to meet their obligations
  • We are not liable for disruptions caused by events outside our control

Ending the Agreement

This agreement is effective from the date of signing and renews automatically unless either party provides written notice.

  • Either party may end the agreement without cause with 60 days’ written notice
  • Either party may end the agreement immediately in the event of a serious breach not resolved within 15 days
  • All outstanding invoices become due immediately upon termination
  • 711 MBS will assist with a smooth handover of billing data upon request

Disputes

If a disagreement arises, both parties agree to first attempt resolution through direct communication for a minimum of 30 days.

If the matter is not resolved, it will be referred to binding arbitration under the American Arbitration Association. Arbitration will take place in Austin, Texas. Each party is responsible for their own legal costs unless the arbitrator rules otherwise.

Governing Law

This agreement is governed by the laws of the State of Texas. Together with the signed Service Agreement and BAA, it represents the complete understanding between 711 MBS and the client.

  • If any part of this agreement is found unenforceable, the remainder stays in effect
  • Changes to these terms must be made in writing and signed by both parties
  • We may update these terms from time to time and will notify clients in writing before changes take effect

Questions? We respond within 24 hours. Contact Us