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Services

Every step of the claim, owned by one team.

Charge entry, scrubbing, submission, posting, denials and A/R follow-up. Nothing is handed back to your front desk.

Services

What we handle.

  1. Claims submission

    Scrubbed against payer edits and filed, with a target of 2 business days from a complete encounter.

  2. Denial management

    Target of 5 business days to work a denial. Root cause found, corrected or appealed.

  3. Payment posting

    835 ERAs posted, with a target of 2 business days from receipt.

  4. Eligibility checks

    Coverage verified before claims go out. Included.

  5. Patient statements

    Up to 2 statements per patient balance included (mailing at cost), sent in your practice's name.

  6. A/R follow-up

    Across commercial payers, OHP, Apple Health and WA L&I.

  7. Credentialing

    Payer enrollment and credentialing, $150 per payer per provider. Claims are held until enrollment is active, so they aren't denied for it.

  8. Works alongside your current system

    Upload encounter forms or a scheduling or charting export through the secure portal. No migration needed.

Claim review

Every claim takes the same path.

  1. 01

    Encounter uploaded

    Your team uploads encounter forms to the secure portal.

  2. 02

    Claim built

    Charges, codes, demographics and payer details are entered and matched to the right payer.

  3. 03

    AI-assisted coding check

    Codes are checked against the documentation before submission. The AI only suggests; it never submits.

  4. 04

    Coder approval

    A human coder resolves every flag and signs off.

  5. 05

    Submitted & tracked

    Sent through the clearinghouse. Acknowledgments and rejections are checked, then the claim is followed until it is paid or closed.

Claim review path

Illustrative sample · not real data
  1. 1Encounter uploadedDone
  2. 2Claim builtDone
  3. 3AI-assisted coding checkDone
  4. 4Coder approvalDone
  5. 5Submitted & trackedTracking

Standards

How we code, bill and document.

  1. We never upcode or unbundle

    Codes match the documentation. If the note doesn't support it, we don't bill it.

  2. Patient-friendly statements

    Clear statements sent in your practice's name. We never call or text your patients, and we don't handle patient money.

  3. Full audit trail

    Every claim, edit and approval is logged with who made it and when.

  4. AI assists, a person decides

    An AI tool suggests and checks CPT, ICD-10 and modifier codes against the documentation. A human coder makes every coding decision, and nothing that changes coding goes out without the provider confirming it.

Become a Client

You see the patients.
We work the claims.

Start with 30 minutes on your payer mix, your denial patterns and where your A/R is aging.

Become a Client

Please don't share patient information when booking.