Eligibility through patient statements. We run the full claim lifecycle so your front desk is not a billing department.

Most leakage is not a single dramatic denial. It is eligibility missed at check-in, charges that never drop, claims that sit, and patient balances no one owns. In-house staff juggle phones, EHR tasks, and payer portals until follow-up becomes optional.

CPT, HCPCS, and ICD-10 assignment by certified coders — with provider queries when the note cannot support the code.

Undercoding leaves money on the table. Overcoding invites takebacks and payer audits. Both usually come from rushed notes and coders who are not specialty-fluent.

Every denial is a root-cause problem, not a resubmit button. We work the claim and the pattern that produced it.

Soft denials for missing data are cheap to fix and expensive to ignore. Hard denials for non-covered or no-auth services do not get better with another appeal template. Most shops only work the first kind — and only when someone has time.

Insurance follow-up, underpayment recovery, and aged A/R projects — with a written plan for what we will collect versus recommend as write-off.

Payer edits change. Claims that were clean last quarter sit in 90+ because nobody called, or because the person who called did not know the portal. Aged A/R becomes a spreadsheet of hope.

CAQH, payer enrollment, revalidation, and new-provider setup — so you are not seeing patients for a panel that is not yet effective.

A missing taxonomy, an expired license scan, or a CAQH attestation that lapsed six weeks ago will delay the first paid claim longer than any coding error. Practices discover it when the ERA comes back as unenrolled.