Claim Submission & Processing

Our advanced claim submission system ensures maximum acceptance rates with real-time tracking and automated error detection. We handle the entire claims process from creation to submission, giving you peace of mind and faster payments.

  • Electronic claim submission to all major insurance carriers
  • Real-time claim tracking and status updates
  • Automated error detection and validation
  • Comprehensive reporting and analytics
  • Automated resubmission for rejected claims
  • HIPAA-compliant data transmission

Key Benefits:

  • 96% first-pass claim acceptance rate
  • Reduced claim processing time by 40%
  • Automated error prevention saves hours of manual work
  • Real-time visibility into claim status
Claim Submission & Processing
Insurance Verification

Insurance Verification

Prevent claim denials before they happen with our comprehensive insurance verification services. We verify eligibility, benefits, and coverage in real-time, ensuring your patients understand their financial responsibility upfront.

  • Real-time eligibility verification
  • Benefits and coverage determination
  • Pre-authorization requirements
  • Patient responsibility calculation
  • Automated verification calls
  • Comprehensive insurance database

Key Benefits:

  • Reduce claim denials by up to 60%
  • Improve patient satisfaction with upfront cost transparency
  • Streamline check-in process with verified information
  • Eliminate surprise billing for patients

Denial Management

Don't let claim denials impact your bottom line. Our expert denial management team analyzes, appeals, and resolves denials efficiently, recovering lost revenue and preventing future issues through systematic improvements.

  • Comprehensive denial analysis and reporting
  • Professional appeal letter generation
  • Root cause analysis and prevention strategies
  • Timely follow-up and resubmission
  • Expert team of denial specialists
  • Performance tracking and improvement

Key Benefits:

  • Recover up to 85% of denied claims
  • Reduce denial rates by implementing prevention strategies
  • Faster resolution with expert appeal processes
  • Continuous improvement through data analysis
Denial Management
Revenue Cycle Management

Revenue Cycle Management

Optimize your entire revenue cycle from patient registration to final payment collection. Our comprehensive approach ensures maximum efficiency, reduced costs, and improved cash flow for your practice.

  • Patient registration and scheduling optimization
  • Charge capture and medical coding
  • Payment posting and reconciliation
  • Financial reporting and analytics
  • Process optimization and workflow management
  • Performance monitoring and KPIs

Key Benefits:

  • Increase overall collections by 15-25%
  • Reduce accounts receivable days by 30%
  • Improve cash flow predictability
  • Streamline operations and reduce administrative burden

Provider Credentialing

Ensure your providers are properly enrolled with insurance networks through our streamlined credentialing services. We handle the entire process from application to network enrollment, keeping you focused on patient care.

  • Application processing and submission
  • Document management and organization
  • Network enrollment and verification
  • Renewal tracking and management
  • Direct communication with insurance carriers
  • Status updates and deadline reminders

Key Benefits:

  • Faster credentialing process completion
  • Reduced administrative burden on your staff
  • Timely renewals prevent network disruptions
  • Expert handling of complex applications
Provider Credentialing
Patient Billing & Coding

Patient Billing & Coding

Accurate medical coding and patient billing services ensure proper reimbursement and patient satisfaction. Our certified coders and billing specialists handle everything from ICD-10 coding to patient statement generation.

  • ICD-10 and CPT coding accuracy
  • Patient statement generation and mailing
  • Payment plan setup and management
  • Collection follow-up and patient communication
  • Online payment portal integration
  • Patient balance reporting and analytics

Key Benefits:

  • Improve coding accuracy and reduce audit risk
  • Faster patient payment collection
  • Enhanced patient experience with clear billing
  • Reduced accounts receivable from patient balances

Payment Posting

Accurate and timely posting of payments is critical to maintaining clean accounts receivable and clear financial visibility. We post ERAs and EOBs, reconcile deposits, and ensure adjustments and denials are captured correctly.

  • Automated ERA auto-posting with manual verification
  • EOB posting for paper remittances
  • Deposit reconciliation with bank statements
  • Adjustments, refunds, and write-off management
  • Denial capture and transfer to follow-up
  • Patient responsibility allocation and secondary billing readiness

Key Benefits:

  • Reduce unapplied cash and posting errors
  • Accelerate month-end close and reporting
  • Improved A/R transparency and cash flow
  • Cleaner downstream secondary and patient billing
Payment Posting

Ready to Transform Your Medical Billing?

Choose the services that fit your practice's needs and start maximizing your revenue today.