01
Patient Pre-Authorization
Before the visit
We request and track pre-authorizations for office appointments, procedures, and medications whenever a payer requires one — so a scheduled procedure doesn't get delayed or denied for lack of approval.
02
Eligibility & Benefits Verification
Before the visit
Essential insurance benefit information is documented in your EHR ahead of the appointment, so your front desk can collect the accurate patient-responsible amount at check-in.
03
Charge Entry & Medical Coding
Point of care
Encounters are coded using CPT, ICD-10, and HCPCS, and charges are entered into your EHR or billing system with the modifiers and detail needed to support a clean claim.
04
Claims Submission
Post-visit
We generate bulk electronic claims in accordance with your payers and clearinghouses, submitting accurately and promptly to ensure compliant, timely reimbursement.
05
Rejection Review & Correction
Post-submission
Claims rejected by the clearinghouse or payer — for a formatting error, mismatched eligibility data, or a missing field — are corrected and resubmitted quickly, before the delay risks a timely filing deadline.
06
Payment Posting
Post-adjudication
Payments, patient-responsible amounts, and write-off figures are recorded precisely, so your accounts accurately reflect the correct balances.
07
Denial Management
As needed
Denials are investigated, root causes corrected, and appeals filed with the documentation each payer requires — rather than written off.
08
Outstanding claims are thoroughly investigated, inaccuracies corrected, appeals initiated, and missing payments tracked down — with detailed reporting on the types of denials found.
09
Revenue reports give you precise, customizable, and timely insight into your financial performance — the same visibility we use internally to manage your account.
