US Healthcare

Practices we serve typically reach a 98% first-pass clean claim rate through front-end eligibility checks, certified coding, and automated claim scrubbing before submission.

Yes. We run structured aged-AR cleanups and root-cause denial management — categorizing denials, appealing within payer timelines, and fixing the upstream process so the same denials stop recurring.

We support 20+ specialties — from primary care, cardiology, orthopedics, and behavioral health to DME and hospital-based services — with coders trained on the payer and coding rules specific to each.

Yes. We verify eligibility and benefits before the visit and manage prior authorizations and referrals end to end — initiation, status tracking, and follow-up — to prevent auth-related denials.

We handle patient statements, balance follow-up, and HIPAA-trained patient support for billing questions and payment plans — always through secure, compliant channels.

You get transparent dashboards and weekly KPI reporting — clean claim rate, denial rate, days in A/R, and net collections — so you always know exactly where your revenue stands.

Yes. Our coders hold ICD-10, CPT, and HCPCS certifications and code to specialty-specific conventions, with a second-level QA review before claims go out.

Yes. We manage credentialing and payer enrollment — applications, CAQH maintenance, and revalidations — so your providers can bill payers without gaps.

Absolutely. Many practices start with a focused scope — coding, denial management, or an AR cleanup — and expand to full revenue cycle management once they see the results.