Revenue Cycle Management,
Handled with Precision.

Claims Submission & Follow-Up

Clean claims. Relentless follow-through.

We manage the full claims process from submission through final resolution — ensuring every claim is submitted accurately and followed up on persistently until it is paid or properly closed.

What's Included

• Electronic claim submission on your behalf
• Real-time tracking of every outstanding claim
• Proactive follow-up before timely filing deadlines
• Resubmission of corrected claims with full documentation
• Secondary and tertiary claim processing

Denial Management & Appeals

A denial is not the final answer.

We fight every denial. Our team performs root-cause analysis on each denial received, writes professionally documented appeals, and follows up directly with payers — across Commercial, Medicare, Medicaid, and Managed Care — until the claim is resolved.

What's Included

• Root-cause analysis on every denial received
• Professionally written appeals with supporting documentation
• Commercial, Medicare, Medicaid & managed care expertise
• Payer escalation and peer-to-peer coordination
• Underpayment identification and recovery

Aging AR Recovery

We recover what others write off.

Unpaid balances sitting in your AR are revenue you've already earned. We work your aging accounts — 30, 60, 90, and 120+ days out — with persistent payer follow-up and targeted recovery strategies that bring cash in before it becomes uncollectable.

What's Included

• Work unpaid balances at every aging bucket
• Persistent payer follow-up until claims are resolved
• Identify and address patterns causing recurring AR buildup
• High-balance claim prioritization
• Recover revenue before timely filing windows close

Prior Authorization

Know before the patient walks in.

Authorization requirements vary by payer, plan, and service type — and a missed authorization can result in a denied claim. We manage the prior authorization process on your behalf, ensuring approvals are secured and documented before services are rendered.

What's Included

• Prior authorization submission for required services
• Status tracking and follow-up with payers
• Catch authorization gaps before they become denials
• Urgent and expedited auth requests handled promptly
• Coordination across all major payer types

Eligibility & Benefits Verification

Verify coverage before every appointment.

We verify patient insurance eligibility and benefits before appointments — confirming active coverage, deductibles, copays, and authorization requirements. This eliminates front-desk surprises, reduces claim rejections, and protects your revenue from the very first step.

What's Included

• Eligibility verification prior to every scheduled visit
• Benefits breakdown including deductibles, copays, and coinsurance
• Identify coverage issues before they become billing problems
• Reduce claim rejections caused by eligibility errors
• Supports all major payers and plan types

Patient Collections

Recover patient balances — professionally.

Patient responsibility balances are a growing share of practice revenue — and one of the hardest to collect. We handle patient balance follow-up with a respectful, professional approach that recovers what you're owed without damaging the patient relationship.

What's Included

• Patient balance follow-up and statement generation
• Payment plan coordination and setup
• Reduce self-pay write-offs without damaging relationships
• Clear, professional communication on your behalf
• Escalation support for difficult-to-collect accounts

Payment Status & Denial Tracking

Nothing falls through the cracks.

We monitor outstanding claims and expected payments so nothing ages unnoticed. Every claim is tracked, every underpayment is flagged, and your team receives regular status updates — so you always know exactly where your revenue stands.

What's Included

• Monitor outstanding claims and expected payment timelines
• Flag underpayments against contracted payer rates
• Regular status reporting so your team stays informed
• Escalate stalled claims before deadlines expire
• Identify payer patterns causing payment delays