Maximize Revenue from U.S. & International Patients in Mexico

Secure direct payments from U.S. insurers with expert out-of-network billing and case management designed for Mexican healthcare providers. No more "cash-only" bottlenecks.

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Bridging the Gap Between Mexican Healthcare and US Insurance

It's a scenario you likely see every day. A patient walks into your facility—perhaps a tourist in Cancun, an expat in Mexico City, or a retiree in Baja. They require urgent care or a high-value procedure. They have a premium US insurance policy (Blue Cross, Aetna, Cigna, or United Healthcare) or a robust International Travel policy.

But there's a problem.

Your facility operates on a "cash-upfront" basis because billing foreign insurers is historically messy, slow, and prone to denials. The patient can't afford the massive deposit. They leave. Or worse, they fly back to the US for treatment, and your hospital loses the revenue entirely.

At 247 Medical Billing Services, we fix this broken cycle. We empower hospitals, specialty clinics, and urgent care centers across Mexico to accept US and international insurance with confidence. By handling the entire heavy lifting—from Verification of Benefits (VOB) at 2 AM to fighting for the final reimbursement—we allow you to capture revenue that is currently walking out your door.

Who This Service Is For

Our specialized International Medical Billing Services Mexico division is designed for providers who regularly encounter foreign patients but struggle to efficiently monetize those opportunities.

Private Hospitals & Medical Centers

Large facilities dealing with high-volume admissions from tourists and expatriates.

Specialty Clinics

Providers in Orthopedics, Cardiology, and Oncology who perform high-value elective or urgent surgeries.

Urgent Care Facilities

First-line defenders in tourist zones requiring fast eligibility checks.

Air & Ground Ambulance

Providers needing complex cross-border billing coordination.

Medical Tourism Facilitators

Organizations needing a reliable billing partner to reassure incoming patients.

Hospital CFOs & Compliance

Leadership seeking to reduce bad debt while maintaining strict compliance.

The "Cash-Only" Trap: A Problem for
Providers and Patients

Running a healthcare facility in Mexico with a high influx of international patients comes with unique financial headaches.

The Financial Risk

Accepting a US insurance card feels like a gamble. Will they pay? How long will it take? If you don't collect cash now, you might never see a peso. This fear drives the "cash-only" policy, which drastically limits your patient pool.

The "Flight Risk"

When you demand $20,000 USD upfront for a surgery, many patients choose to fly home. Their insurance covers them 100% in the US, so they leave Mexico. You lose the admission, the surgery fees, and the pharmacy revenue.

The Administrative Nightmare

Your local billing team is excellent at navigating Mexican insurers. But US billing? It's a different language. CPT codes, ICD-10 specificity, modifiers, and "out-of-network" negotiations are complex.

The Solution: Case-Based, Direct-to-Payer Billing

We don't just "submit claims." We manage cases.

247 Medical Billing Services acts as your specialized international revenue cycle management arm. We function as the bridge between your Mexican facility and the US payer system. With 24/7 Service Delivery.

Our approach is different because we understand the urgency of your operations. We know that if we can't verify coverage fast, you can't admit the patient. That's why we operate with an average response time of 20 minutes and 24/7 availability to declare the risk assessment.

Increase Patient Volume

Say "yes" to patients who have insurance but limited cash.

Maximize Reimbursement

US insurers often pay higher rates for out-of-network emergency care compared to local cash prices.

Reduce Liability

We secure availability and coverage details before the procedure happens.

10+

Years of International Experience

50K+

Cross-Border Cases Managed

24/7

Verification & Case Management

20min

Average Response Time

300+

Certified Experts

98%

Clean Claim Rate

Detailed Services We Provide

We have spent over a decade refining a suite of services specifically for the cross-border healthcare market.

24/7 Verification of Benefits (VOB)

Medical emergencies don't happen 9-to-5, so neither do we. When a patient arrives at 3 AM on a Sunday, you need to know right then if their insurance is valid. Our team is available around the clock. We contact the payer, verify eligibility, check deductibles, and confirm international coverage limits. You get a "Go/No-Go" decision fast.

Strategic Case Management

We don't just push paper; we manage the narrative. For high-stakes admissions, our team coordinates directly with the insurance company's case managers. We ensure they have the clinical evidence they need to approve continued stay days, surgeries, and specialized treatments.

Guarantee of Payment (GOP) Coordination

For travel insurance and international policies, securing a GOP is the gold standard. We work to obtain this written commitment from the insurer before the patient is discharged. While subject to final adjudication, a GOP significantly reduces your financial risk.

Denial Management & Escalation

Denials happen. But for us, a denial isn't a "no"—it's the start of a negotiation. We have a dedicated team that specializes in overturning erroneous denials. We know the "Red Flag" insurers who like to delay payment, and we have established escalation channels.

Ambulance & Repatriation Support

If you operate Ground or Air Ambulance services, you know how hard it is to get paid. We specialize in this niche. Furthermore, for patients requiring repatriation (transfer back to their home country), we coordinate with insurers and private air ambulance providers.

How It Works: A Step-by-Step Process

We've designed our workflow to be as unintrusive as possible, allowing your doctors to focus on medicine while we focus on the money.

Notification & Intake

As soon as an international patient arrives, your team notifies us via our secure portal. You send the patient's ID and insurance card.

Immediate

Rapid Verification (VOB)

Our team jumps into action. We verify the coverage, benefits, and out-of-pocket maximums. We report back to you, usually within minutes, with an assessment of the financial viability of the admission.

< 2 Hours

Clinical Documentation & Authorization

While you treat the patient, your team supplies us with daily progress notes, medical reports, and cost estimates. We submit these to the insurer to maintain authorization and prove medical necessity.

Daily / Ongoing

Coding & Submission

Once the patient is discharged (or interim billing is required), our AAPC-certified coders translate your Mexican medical records into US-compliant CPT and ICD-10 codes. We submit the claim directly to the payer.

Within 24-48 hours of discharge

Follow-Up & Payment

We monitor the claim status daily. If they ask for more records, we send them. If they delay, we'll call. Once payment is issued, we reconcile it against the expected amount.

Ongoing until resolution

Why Choose 247 Medical Billing Services?

Feature	Local/Internal Billing Team	247 Medical Billing Services
Availability	Standard business hours (Mon–Fri)	24/7/365 Coverage
Verification (VOB)	Hours or days via general lines	Under 2 Hours via direct US portals
Coding Standards	Mexican narrative standards	AAPC-Certified CPT & ICD-10
Financial Risk	High "Flight Risk" due to cash-only	Secure GOP to enable admission without upfront cash
Denial Management	Often written off as uncollectible	Relentless US & International Appeal Channels
Regulatory Scope	Mexican General Health Law	Dual Compliance: NOM-168 & US HIPAA
Repatriation	Hospital staff manage logistics	Consular & Air Ambulance Liaison

Key Benefits for Your Facility

Improved Cash Flow

By unlocking insurance revenue, you tap into a funding source that pays significantly more than cash discounts.

Reduced Administrative Burden

Your staff stops spending hours on hold with foreign call centers. We handle the hold music.

Risk Mitigation

Our early verification process acts as a shield. We will tell you immediately if a policy is inactive or has exclusion clauses.

Patient Satisfaction

Patients are relieved when you accept their insurance. It builds loyalty and leads to better reviews for your facility.

Data-Driven Decisions

Our "Risk & Case Intelligence" helps you avoid bad debt by identifying high-risk insurers early.

Market Reputation

Positioning your facility as a preferred destination for the lucrative US medical tourism and expatriate markets.

Frequently Asked Questions

Does verifying benefits guarantee we will get paid?

Verification is a crucial first step, but no insurer (US or International) guarantees payment over the phone. However, a comprehensive VOB combined with a Guarantee of Payment (GOP) and proper authorization significantly reduces the risk of non-payment. Our expertise lies in minimizing that gap.

Do you handle credentialing?

Yes, but only when required. Since most of our billing for Mexico is done on an out-of-network, case-specific basis, credentialing is often not necessary. If a specific payer or contract requires it, our team handles the paperwork.

What happens if a claim is denied?

We fight it. We have a specific team for Denial Management. We analyze the denial reason (coding error, lack of medical necessity, administrative error) and file an appeal. We don't just write off the debt; we chase it.

How do you handle medical repatriations?

We provide end-to-end coordination. This includes managing the air ambulance case, ensuring all documentation is ready for the international payer, and communicating with the receiving hospital to ensure a safe, financially covered transfer.

Can you help with European patients?

Absolutely. While US insurance is our primary volume, we have extensive experience with International Travel Insurance for patients from the UK, Germany, France, and beyond.

How do we get started?

It's simple. We integrate with your workflow. You don't need to change your EMR. We provide a seamless onboarding process where we set up communication channels, and you can start sending us cases immediately.

Ready to Optimize Your International Revenue?

Don't let another patient walk out the door because of billing complexity—partner with the experts in US Medical Billing Services Mexico.

Schedule a Free Revenue Leakage Audit. We will review a selection of your recent "lost" or denied international cases to calculate precisely how much revenue you could have recovered with our 24/7 model.

+1 888-502-0537

sales@247medicalbillingservices.com