Every claim, handled from eligibility check to posted payment.
The complete billing cycle — checking coverage before the visit, building a clean claim, getting it paid, and keeping it moving if something goes wrong along the way.
The complete billing cycle — checking coverage before the visit, building a clean claim, getting it paid, and keeping it moving if something goes wrong along the way.
Confirming coverage and approvals ahead of time, so billing starts with accurate information instead of a denial down the line.
Most downstream denials trace back to something that could have been caught here.
Confirming active coverage, copays, deductibles and plan-specific rules before the appointment.
Submitting and tracking authorization requests so procedures and visits aren't delayed or denied for missing approvals.
Chasing down pending authorizations before they become a scheduling or billing problem.
The full process we run on every claim, start to finish.
Accurate patient demographics and charges entered to build a clean claim.
Claims checked for errors and submitted to the payer promptly.
Rejected claims reviewed and corrected quickly rather than left sitting.
Corrected claims resubmitted and tracked through to a decision.
Insurance and patient payments posted accurately against the right claims and line items.
Denials, aged claims and underpayments that need active recovery work.
Make sure the provider is enrolled and the electronic connections are set up correctly.
Front-office support to handle scheduling and insurance calls around billing.