Private hospitals & medical centers
Large facilities dealing with high-volume admissions from tourists and expatriates.
Cross-border billing · Mexico
Maximize Revenue from U.S. & International Patients in Mexico
No more “cash-only” bottlenecks.
Secure direct payments from U.S. insurers with expert out-of-network billing and case management designed for Mexican healthcare providers. We handle the entire heavy lifting — from Verification of Benefits at 2 AM to fighting for the final reimbursement.
HIPAA& NOM-168
SOC 2Type II
24/7/365VOB coverage
20 minAverage response
One international patient
Two outcomes
The decision that costs you the admissionhappens before the doctor is involved
Cash-only
- Deposit demanded upfront
- Patient cannot pay it
- They fly home for treatment
- Admission, surgery and pharmacy revenue lost
With 247MBS
- VOB requested the moment they arrive
- Coverage confirmed, risk assessed
- GOP secured before discharge
- Claim paid directly by the U.S. payer
Go / No-Go decisionAverage response 20 minutes
Policies we bill directly
Blue Cross
Aetna
Cigna
United Healthcare
International travel policies
01A scenario you likely see every day
Bridging the gap between Mexican healthcare and US insurance
A patient walks into your facility — perhaps a tourist in Cancún, 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, or a robust international travel policy.
But there’s a problem
Cash upfront
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.
We fix the cycle
At 247 Medical Billing Services, we empower hospitals, specialty clinics, and urgent care centers across Mexico to accept US and international insurance with confidence — so you capture revenue that is currently walking out your door.
02Providers who regularly encounter foreign patients
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.
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.
03Unique financial headaches
The “cash-only” trap: a problem for providers and patients
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.
Revenue review
How much international revenue walked out your door?
We 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.
- Cases lost to an upfront cash demand
- Denied US and international claims, with the denial reason
- Recoverable value under a VOB and GOP workflow
HIPAA & SOC 2 Type II
Back within one business day
No obligation
Request a Revenue Review
Tell us about your international cases.
An international case lead will reach out within one business day.
Thanks — we’ve got it.
An international case lead will reach out within one business day.
04We don’t just submit claims
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: if we can’t verify coverage fast, you can’t admit the patient. That is why we operate with an average response time of 20 minutes and 24/7 availability to declare the risk assessment.
- VOLUMEIncrease patient volumeSay “yes” to patients who have insurance but limited cash.
- RATESMaximize reimbursementUS insurers often pay higher rates for out-of-network emergency care than local cash prices.
- RISKReduce liabilityWe secure availability and coverage details before the procedure happens.
05Over a decade refining the cross-border market
Detailed services we provide
We have spent over a decade refining a suite of services specifically for the cross-border healthcare market.
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. 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, so they have the clinical evidence they need to approve continued stay days, surgeries, and specialized treatments.
Guarantee of Payment 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. For patients requiring repatriation, we coordinate with insurers and private air ambulance providers.
06Designed to be as unintrusive as possible
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.
- 01Notify
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.
- 02Verify
Rapid verification (VOB)
Our team jumps into action. We verify the coverage, benefits, and out-of-pocket maximums, and report back — usually within minutes — with an assessment of the financial viability of the admission.
- 03Authorize
Clinical documentation & authorization
While you treat the patient, your team supplies daily progress notes, medical reports, and cost estimates. We submit these to the insurer to maintain authorization and prove medical necessity.
- 04Code
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, and we submit the claim directly to the payer.
- 05Collect
Follow-up & payment
We monitor the claim status daily. If they ask for more records, we send them. If they delay, we call. Once payment is issued, we reconcile it against the expected amount.
07The difference shows up on your admission decisions
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
08What changes for your facility
Key benefits for your facility
Unlocking insurance revenue changes more than the bank balance.
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.
You keep the clinical decisions. We remove the billing reason to say no.
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 and proper authorization significantly reduces the risk of non-payment. Our expertise lies in minimizing that gap.
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.
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.
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.
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.
It’s simple. We integrate with your workflow and 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.
notify·verify·authorize·code·collect
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 in Mexico. Request a Revenue Leakage Review and we will look at 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.
Also in Spanish: Facturación médica en México