From the first eligibility check to the last posted payment — every stage handled with the same attention.
We confirm active coverage, plan benefits, co-pays, deductibles, and prior authorization requirements before every scheduled visit. This means front-desk staff walk into each appointment already knowing what's covered, reducing claim rejections tied to eligibility down the line.
Patient demographics, insurance details, and encounter charges are entered accurately from the start. Careful data entry here prevents the downstream denials and rework that come from mismatched names, wrong policy numbers, or miskeyed charge amounts.
Every billable service performed during a visit is identified, matched to the correct code, and recorded before the claim goes out. Nothing gets missed or under-billed, so your practice is reimbursed for the full scope of care actually delivered.
Every remittance is posted and reconciled against what was actually expected on the claim. Underpayments, contractual write-offs, and payer discrepancies are flagged immediately, instead of surfacing months later during a routine audit.
We dig into the root cause behind every denial rather than just resubmitting the claim. Once the underlying issue is fixed, we track the pattern so the same denial reason doesn't keep repeating across future claims.
Outstanding claims don't sit untouched — our team follows up directly with payers by phone and portal until each one is resolved. Aging accounts receive priority, keeping your days-in-AR down instead of letting balances drift.
Statements are written in plain language that patients can actually understand, with balances, insurance adjustments, and what's owed spelled out clearly. Clearer statements mean fewer billing calls and faster patient payments.
You get real-time dashboards built around the metrics that matter to your practice — collections, denial rates, AR aging, and more. Reports are formatted the way you want to see them, accessible whenever you need them.
We handle the paperwork and setup required to establish electronic claims connections with each of your payers. Once enrolled, claims move electronically from day one, avoiding the delays that come with paper submissions.
Electronic funds transfer and electronic remittance advice are configured with each payer, so payments land directly in your account and remittance detail arrives automatically. That means faster posting and far less manual paperwork.