
What We Offer
We handle the complicated stuff so you don't have to. From getting your claims paid to keeping your books straight, we've got your back every step of the way.
Getting You Paid
We make sure your claims get processed and paid on time. No more waiting months for insurance companies to get their act together.
We chase down every dollar you're owed
We Get Results. Real Results.
Don't just take our word for it. Here's what we've actually accomplished for practices like yours. These aren't just numbers โ they're real improvements that put more money in your pocket.
What Our Clients Say
We Work with Practices Like Yours
Whether you're flying solo or running a big operation, we get it. Medical billing is tough, and you shouldn't have to figure it out alone. We've helped practices of every size get their billing under control. No matter how big or small you are, we can make your life easier.
You're busy taking care of patients. Let us handle the paperwork and chase down payments so you can focus on what you do best.
- Solo doctor practices
- Specialty clinics
- Small group practices
- Independent medical offices
Your practice is expanding, but billing is getting more complicated. We help you scale without the headaches.
- Primary care clinics
- Urgent care centers
- Specialty medical groups
- Family practice clinics
Big operations need big solutions. We handle the complexity of multi-location healthcare systems with ease.
- Hospitals and health systems
- Multi-location practices
- Healthcare networks
- Academic medical centers
Meet Your Billing Dream Team
We don't just give you software and hope for the best. You get real people who know medical billing inside and out, and they're always just a call away when you need help.
Think of them as your personal billing experts who never take a day off.
Why Our Team Makes the Difference
Our billing experts have been doing this for years โ they know all the codes.
We're always here when you need us โ no waiting around for answers.
They speak your language, not insurance company jargon.
Quick to spot problems before they become expensive mistakes.
They actually care about your practice's success, not just processing claims.
Available by phone, email, or text โ whatever works best for you.
They know the ins and outs of every major insurance company.
Always learning the latest rules so you don't have to.
Insurance Verification & Eligibility
We provide comprehensive Insurance Verification and Eligibility services to ensure that your healthcare claims process is smooth and efficient.
- Verification of co-pays, deductibles, and co-insurance to ensure accurate patient financial responsibility
- Pre-authorization and referral management to secure necessary approvals before treatment
- Verification of the correct payer for claims submission, whether it's a direct payer or a Third Party Administrator (TPA)
- Real-time eligibility checks tailored according to the provider's specialty
- Access to the latest insurance policy updates and benefit details
- Reduction of administrative workload by outsourcing insurance verification
- Custom reports for clear tracking and management of insurance verification status
Claim Coding & Submissions
We provide professional medical claim coding and submission services to ensure fast, accurate, and compliant billing.
- We submit all claims with accurate ICD-10 codes, CPT codes, and the correct modifiers
- Our team carefully reviews each claim against clinical documentation to ensure proper and compliant coding
- We consistently maintain a 98% first-pass clean claim rate
- We submit claims within 24 hours of the patient's appointment to avoid delays
- Before submission, we scrub every claim using advanced tools to catch and fix any potential errors
- We perform pre-submission quality checks to reduce denials and improve reimbursement speed
- We handle claim submissions for all types of payers โ including commercial insurance, government programs, workers' compensation, and auto insurance
- We send both electronic and paper claims, depending on the payer's requirements
- We ensure all coding is HIPAA-compliant and aligned with current payer guidelines
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Denial Management & Rejections
We identify the root causes of rejections and denials, using advanced EDI systems to track, correct, and resubmit claims promptly minimizing revenue loss.
- We proactively manage both EDI (clearinghouse) and insurance rejections, ensuring your claims never go unnoticed
- Our team reviews and addresses rejections within just 24 hours, helping you avoid Timely Filing Denials and revenue delays
- With deep industry expertise, our specialists can effectively resolve every type of denialโno matter how complex
- Whether its documentation issues, coding errors, or billing mistakes, our experienced team handles it all with precision
- We take prompt action by sending reconsiderations and appeals to resolve any discrepancies and push claims forward
- Stay informed with our detailed denial reports, including pattern analysis and real-time recovery updates
- Partnering with us means your denial rate can drop as low as 1.5% to 2%โa significant improvement to your revenue cycle
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Notes: Investigating duplicate submission
Notes: Appealed successfully โ payment pending
Payment Posting
We accurately post insurance and patient payments to ensure up-to-date account balances and complete financial transparency.
- We post EOBs and ERAs from insurance payers promptly into the billing system
- We verify payment amounts, adjustments, and write-offs against payer contracts
- We identify underpayments or non-payments and flag them for AR follow-up
- We apply patient payments (copays, deductibles, etc.) accurately to the correct accounts
- We maintain detailed records of all posted transactions for audit and reporting purposes
- We communicate with the AR team to escalate any discrepancies found during posting
Accounts Receivable (AR)
Our Accounts Receivable service focuses on managing the full lifecycle of unpaid insurance claims.
- We actively follow up on claims every 10 to 15 days to ensure they are received and processed by the payer on time
- We perform weekly follow-ups on all outstanding claims to minimize delays in insurance payments
- We identify and minimize EDI and payer rejections by resolving submission errors before resending claims
- We take timely action on denials by fixing issues and resubmitting corrected claims
- We handle reconsiderations and appeals with proper documentation to recover denied or underpaid claims
- We maintain detailed AR aging reports and follow-up logs to track claim status and ensure no revenue is left uncollected
Reporting & Analytics
We provide a shared reporting platform where providers can access all essential reports anytime, ensuring full transparency and control over their billing and collections.
- Daily Insurance Verification Report to track eligibility and coverage status
- Daily Claim Submission Summary to monitor how many claims have been billed and how many remain unbilled with reasons
- Daily Insurance & Patient Payment Posting Report showing all posted payments
- Real-Time AR Aging Working Report for up-to-date tracking of outstanding claims
- Weekly & Monthly AR Aging Summary to review outstanding balances over time
- Monthly & Quarterly Review Reports highlighting progress, improvements, and work done on your behalf
Appointment & Scheduling
Professional appointment scheduling, confirming, and reminder services to keep your practice organized and efficient.
- Booking, confirming, and rescheduling appointments
- Automated patient reminder calls, texts, and emails
- Management of provider calendars and schedules
- Integration with your existing practice management software
Charge Entry
Accurate and timely entry of CPT, ICD, and modifier codes, strictly following NCCI guidelines to ensure clean claims and faster payments.
- Review of superbills and patient charts for accuracy
- Application of correct CPT, ICD-10, and HCPCS codes
- Adherence to National Correct Coding Initiative (NCCI) edits
- Reduction of coding-related denials and compliance risks