Claims out in 24 hours, denials worked to resolution, and billing handled by people who know your specialty — MAT and behavioral health, primary care, nephrology and dialysis, and lab and toxicology. All inside the EHR you already use.
Eligibility verification before every visit. Charges captured and claims scrubbed the day after. Payments posted the day the ERA lands. Denials appealed with payer-specific workflows. Patient statements that people actually understand.
You get a dedicated account team that knows your program, your payers, and your fee schedules — and a monthly one-page summary that tells you exactly where the money is.
We track the numbers that tell you whether billing is actually working: days in accounts receivable, how much of your A/R is aging past 60 and 90 days, first-pass clean claim rate, and net collections against what your fee schedule says you should be paid.
Most practices we take over start with A/R in the 50s and a growing over-90 bucket. Within the first two to three months, the goal is A/R under 35 days, the old bucket worked down claim by claim, and a monthly report showing exactly what was collected, what's pending, and what's left.
Many of the services we bill live and die on authorization. We verify Medicaid and MCO eligibility before every visit, submit initial auths and concurrent reviews, and track every expiration date so treatment never outruns its authorization.
When a payer denies an auth, we handle the peer-to-peer scheduling and the appeal paperwork.
Most billing companies only bill forward and let your old receivables quietly die at the filing limit. We start every engagement by working the backlog: every claim over 60 days gets touched, appealed, or corrected, oldest and largest first, before the payer clock runs out.
This is a standalone service focused on the claims most billers write off — aged balances, timely-filing denials that can still be disputed, underpayments, and stalled appeals. You pay 10% of what we actually recover, and nothing on what we don't.
The number one reason practices stay with a biller they don't like is fear of the transition. Ours is built so no claim is ever unowned: your current process keeps running while we set up, and we take over date-of-service forward on a single agreed day.
Week one is access and setup inside your EHR. Week two we run in parallel and reconcile against your current biller's work. On day 14 we take over new claims, and the old A/R backlog becomes our problem, not yours. You keep your EHR, your logins, and your front-desk workflow — nothing changes for your staff.
We'll review 90 days of claims and send a plain-English report within five business days. No obligation, and no PHI needed to get started.