Last updated: September 11, 2026
This Service Policy describes general expectations for AllianceMedex medical billing and revenue cycle services. Specific scope, fees, SLAs, and responsibilities are defined in your signed services agreement, statement of work, or order form (the “Agreement”). If there is a conflict, the Agreement controls.
1. Scope of services
Depending on the Agreement, services may include eligibility verification support, charge entry, coding support, claim submission, payment posting, denial follow-up, patient billing support, reporting, and related RCM administration. We do not provide clinical care.
2. Client responsibilities
Timely, accurate results depend on client cooperation. Clients are generally responsible for:
- Providing complete and accurate demographic, insurance, clinical, and encounter information.
- Maintaining appropriate EHR/PMS access and notifying us of system or workflow changes.
- Ensuring clinical documentation supports billed services.
- Responding promptly to requests for information needed to submit or appeal claims.
- Complying with payer enrollment, credentialing, and regulatory requirements applicable to the practice.
3. Coding and compliance
We apply industry coding standards and payer guidelines based on available documentation. Final responsibility for medical necessity, documentation quality, and the clinical appropriateness of services remains with the rendering provider and practice. We do not guarantee payment of any claim.
4. Turnaround and communication
We work to process work queues and respond to client inquiries within the timeframes stated in the Agreement. Delays may occur due to incomplete data, payer outages, system issues, or high volumes. Material issues should be escalated through the contacts listed in your Agreement.
5. Fees and invoicing
Fees, billing cycles, and payment terms are set in the Agreement. Late or unpaid invoices may result in suspension of services as permitted by the Agreement. Taxes and third-party pass-through costs may apply where stated.
6. Confidentiality and PHI
We treat client business information as confidential and handle PHI under HIPAA and the applicable BAA. See our HIPAA Notice and Privacy Policy for additional detail.
7. Service changes and termination
Either party may modify or end services as allowed by the Agreement, including notice periods and wind-down assistance for claim files and reporting. Upon termination, we will return or dispose of PHI as required by the BAA and Agreement.
8. No performance guarantees beyond the Agreement
Website statements about results, denial reduction, or cash-flow improvement are illustrative and not guarantees. Actual outcomes vary by specialty, payer mix, documentation, and client workflows.
9. Contact
Service policy questions: hello@alliancemedex.com. For active clients, please contact your account manager as listed in your Agreement.