Medical Billing Services (MBS) processes and reimburses claims for the Breast and Cervical Cancer Program. All reimbursements for the Breast and Cervical Cancer Program will by paid by MBS doing business as "Iowa Screening Programs." Questions regarding claims should be directed to MBS at 515-412-2805 or iowascreening@practisynergy.com.
Claims may be submitted to:
Practisynergy
Iowa Screening Programs
1501 50th Street, Suite 110
West Des Moines, Iowa 50266
PractiSynergy/Medical Billing Services Contact Details
Direct Phone: 515-412-2805
The best point of contact for claim status is this email iowascreening@practisynergy.com.
When leaving voicemails please ensure you include, your full name, your program/facility name and your phone number.
Requests for updating or adding a Healthcare Facility to the CFY-BCC Program
To request the addition or update of health care facility, email Gena Hodges at gena.hodges@hhs.iowa.gov and include the following information in your email:
- Facility's full name
- Facility's full address (number, street name, city, state, zip code)
- Facility's contact person's name and email address
Please send your requests via email.
Timely Claims Submission
Reimbursement of claims will be processed up to one year (12 months) from the date of service. Claims exceeding the 12-month period from the date of service will be denied. No participant should be billed for any covered service denied due to not filing a claim in a timely fashion.
Payor of Last Resort
As a reminder, no participant should be billed for any covered service. The participant must be made aware before the service is provided that the screening program will not cover the procedure and that the cost will be the participant's responsibility.
If the participant has insurance, an Explanation of Benefits (EOB) must be obtained from an insurance company and submitted with the claim. The BCC program will reimburse for copay and deductibles up to the amount indicated on the BCC Program Reimbursement Schedule for the portion not covered by insurance.
An individual enrolled in the BCC program should not be billed for:
- Any program-covered service.
- Claims denied for not filing in a timely manner.
- Collection and transportation of specimens. These costs are to be covered by the office visit reimbursement. They should not be billed separately.
Resubmission of Claims
If a previously denied claim is being submitted for payment, a notation of *Corrected Claim* must be at the top of the claim form for proper processing. If this is not done, the claim will be denied as a duplicate.