Before the appointment
Eligibility verification
We verify active coverage and the benefit details that change the patient conversation: maximums, deductibles, frequencies, waiting periods, downgrades, and plan limitations.
Six connected service lines
Use one service or connect the cycle. The same operating discipline follows work from eligibility through credentialing.
Before the appointment
We verify active coverage and the benefit details that change the patient conversation: maximums, deductibles, frequencies, waiting periods, downgrades, and plan limitations.
Before the clearinghouse
We review the claim as a complete packet: patient and subscriber details, coding, provider information, narratives, and required attachments.
After the adjudication
We post electronic and paper remittances with contractual adjustments, denials, and patient responsibility tied back to the claim.
After the expected payment date
We organize insurance AR by age, value, payer behavior, and root cause. A balance is not worked until the next action is explicit.
After a payer says no
We classify what actually happened, correct what can be corrected, appeal what should be challenged, and feed preventable patterns back upstream.
Before the first in-network claim
We manage payer enrolment and re-credentialing as a dated workflow, including missing items, payer follow-up, rosters, and fee schedules.
Choose the starting point
A single service can be the first step. The rest of the cycle remains available when the handoffs need one owner.