Medical Billing
Claims out clean the first time, prior authorizations handled, and every payment posted and checked.
We get claims out clean and check that you're paid what you're owed
Late claims, missing authorizations and payments nobody checks against the contract. Each one is small, and together they quietly cost a practice real money.
What's Included
- Eligibility and benefits verification
- Prior authorization requests, follow-up and tracking
- Charge entry and claim submission
- Payment posting and reconciliation
- Underpayment checks against your contracts
- Patient statements and billing questions
- Monthly reporting and review
See one claim from start to finish
- Day 0Visit: eligibility and authorization already confirmed
- Day 2Scrubbed and submitted: one missing ID fixed first, clearinghouse accepted
- Day 18Partly paid: one line paid $16.00 short, one line denied
- Day 20Corrected claim sent: underpayment raised with the payer
- Day 41Denied line paid: $84.00 posted, while the $16.00 shortfall stays open with the payer
The denied line is followed in detail on the How We Work page, and the monthly report is there too.
The number we watch: First-pass rate. The share of claims accepted and processed the first time they are submitted. We show you how we count it, on every report.
Prior authorization, built in
An authorization problem turns into a denial weeks later. We handle it at the start, as part of the cycle. Since 2026, Medicare Advantage, Medicaid and CHIP programs have had to decide urgent requests within 72 hours and standard requests within 7 calendar days, and give a specific reason for any denial. Other plans follow other rules.
- Each request received and eligibility checked
- Request prepared and submitted with your supporting documents
- Followed up with the payer until there is a decision
- You're told the outcome: authorization number, approved units and dates, or the reason for denial
- A log of every request, status, unit and expiration you can view
- A monthly report on pending, approved, denied and expiring authorizations
| Request | Status | Detail | Expires |
|---|---|---|---|
| PA-311, knee injection | Approved | 3 units | Mar 31 |
| PA-318, MRI | With payer | Sent 2 days ago | None yet |
| PA-322, home care | Denied | Reason sent to you, appeal drafted | None |
Got Any Questions?
Yes. Prior authorization can be its own statement of work, and you can add other services later without a new contract.
No. Payers pay you directly, into your own account. We never receive or hold your funds.
In most cases, no. We work in the systems and payer portals you already use.