Scheduling & Patient Intake
Structured intake that captures accurate demographics and insurance details the first time. A misspelled name is a denial with a two-week delay attached.
Not a menu of disconnected tasks. One accountable team running your claims from the moment a patient books to the day the final dollar posts — with the numbers published back to you daily.
Roughly three in four denials are set in motion before a coder touches the chart. We fix the front end first, because that is where the cheapest wins live.
Structured intake that captures accurate demographics and insurance details the first time. A misspelled name is a denial with a two-week delay attached.
Real-time coverage checks before the appointment. Patients learn their responsibility up front, and your front desk stops chasing balances after the fact.
We chase the authorisation, track it to approval, and flag procedures at risk of being performed without one — before the patient is on the table.
Payer enrolment, CAQH maintenance, and revalidation handled end to end. An uncredentialed provider is a clinician generating unbillable encounters.
Certified coders assigning CPT, ICD-10, and HCPCS with specialty-specific rigour — coding to the highest defensible specificity, never beyond it.
Reconciling every encounter against every charge, so services rendered never quietly fail to become services billed.
Aged claims and appeals are labour-intensive and unglamorous. They are also where the recoverable money is hiding.
Claims validated against payer-specific edits and transmitted within 24 hours of charge capture. Rejections are corrected same-day, not batched to month end.
Every denial is categorised by root cause and routed to the team that can prevent the next one. We overturn roughly 84% of the denials we appeal.
Aged buckets worked daily and prioritised by recoverable value, not simply by age. Old claims are not automatically dead claims.
Formal appeals with clinical documentation attached, escalated through every level a payer offers — including underpayment recovery against contracted rates.
ERA and EOB posting reconciled line by line against expected reimbursement, so underpayments surface immediately instead of never.
Clear, itemised statements patients can actually understand, backed by a support line that answers billing questions on your behalf.
Every claim we touch is visible to you, in real time, at the claim level. Reports arrive on your schedule — daily, weekly, or monthly — sliced by provider, location, or payer.
Request a Sample ReportWe run parallel to your current process until your first clean cycle closes. Nothing is switched off until the new pipeline is proven.
Ninety days of claims analysed. You see the leakage in dollars before any agreement is signed.
We connect to your existing EHR and clearinghouse. Your clinical workflows do not change.
Both pipelines run side by side for one full cycle so nothing falls through during the handover.
We take the cycle, you take the dashboard. Weekly reviews for the first quarter.
A no-obligation review of 90 days of claims. We quantify the leakage in dollars and tell you plainly whether we can fix it.