Eligibility Verification

We verify patient insurance coverage and benefit details before services are provided, reducing billing issues and improving claim readiness from the very first step.

• Coverage and benefit confirmation ahead of the appointment
• Flagging coverage gaps before they become denials
• Clear documentation handed off to your front desk team

Prior Authorization

We assist with prior authorization workflows to help reduce treatment delays and support smoother reimbursement processes.

• Authorization requests tracked from submission to approval
• Follow-up on pending or stalled requests
• Status visibility so scheduling isn’t left guessing

Medical Coding

We support accurate coding practices to help improve claim accuracy and reduce avoidable denials.

• Coding review aligned to documentation on file
• Consistency checks before claims move downstream
• Coordination with providers on documentation gaps

Charge Entry

We help enter and review charges carefully to support clean claim submission and accurate billing records.

• Charge capture cross-checked against services rendered
• Error correction before claims leave the building
• Clean, auditable billing records

Claims Submission

We assist with timely and accurate claim submission to help providers reduce delays in reimbursement.

• Payer-specific formatting and submission rules
• Rejection review and same-cycle resubmission
• Submission tracking from first pass through resolution

Payment Posting

We support accurate posting of insurance and patient payments to maintain clean account records and improve revenue visibility.

• Insurance and patient payments posted and reconciled
• Underpayment and variance flagging
• Reporting that reflects true revenue position

Accounts Receivable Management

We help review aging accounts, follow up on unpaid claims, and support collection workflows to improve cash flow.

• Aging bucket review and prioritization
• Structured payer follow-up cadences
• Escalation paths for stalled claims

Denial Management

We review denial reasons, support corrections, and help reduce recurring claim issues through structured follow-up.

• Root-cause review of denial reason codes
• Correction, appeal, and resubmission support
• Trend reporting to prevent repeat denials