Our End to End RCMS Service

Eligibility Verification

We verify insurance eligibility 48 hours before appointments to ensure coverage is active and benefits apply.

Medical Coding

Our team converts clinical notes into accurate HCPCS and ICD-10 codes, ensuring error-free superbills and preventing denials.

Charge Entry

The coding team processes superbills, entering charges with correct modifiers and billing details to ensure error-free claims.

We'll schedule convenient appointments and remind patients to bring their insurance card, medical records, and necessary documents.

Appointment Scheduling

Claim Submission

Payment Posting

Our experienced team enters scanned EOBs and checks, posts ERA payments, and tracks denied claims to ensure accurate payment records

Once charges are entered and quality-checked, claims are filed electronically or on paper as needed. We promptly address any errors or rejections.

Account Receivables

Denial Management

After claims are submitted, our A/R specialists pursue unpaid claims, reduce A/R days, correct underpayments, and appeal denials with proper documentation.

Our claims specialists prioritize denied claims, working with our denial experts to resolve issues. Rigorous follow-up ensures faster payment processing.

Credit Balance, Insurance and Patient

Patient Statements processing

We follow up with patients on outstanding balances after insurance claims are processed. Patient statements are generated weekly or monthly.

We handle credit balance processing by verifying overpayments and ensuring accurate, timely refunds to the correct entity.

Patient Reminders and Follow-Up Coordination

Claims Review and Submission

Claim Submission and Payment Posting

A/R and Denial Management

Patient Statement Processing and Balance Management