One consistent workflow behind every claim.
No guesswork, no ad hoc handling. Every claim moves through the same six-stage process, built for accuracy and speed.
Eligibility & Verification
Before the appointment, we confirm the patient's active coverage, benefits, copay and deductible status, so the front desk and provider both know where they stand before the visit happens.
Documentation & Coding
Encounters are documented (with scribing support where needed) and coded by certified coders trained on your specialty's ICD-10, CPT and HCPCS requirements.
Claim Scrubbing & Submission
Every claim runs through payer-specific edit checks before submission, catching errors that would otherwise trigger a denial, then it's submitted electronically to the payer.
Payment Posting
Remittances are posted promptly and reconciled against expected reimbursement, so any shortfall or underpayment is flagged immediately rather than discovered months later.
Denial Resolution
Denied claims are triaged by reason code, corrected, and appealed within payer timelines, with the root cause fed back into the coding and documentation process to prevent repeats.
AR Follow-Up & Reporting
Outstanding balances are worked on a set cadence by aging bucket, with monthly reporting so you always know exactly where revenue stands.