Services
Comprehensive support across the revenue cycle — choose a full RCM solution or individual services that fit your practice.
Credentialing
End‑to‑end payer enrollment for practices and providers, including CAQH management.
Insurance Verification
Verify eligibility and benefits ahead of visits to reduce denials and surprises.
Medical Authorizations
Accurate prior authorizations to prevent care delays and write‑offs.
End‑to‑End Billing
Claims, coding checks, payments posting, and AR follow‑up for improved collections.
Appointment Scheduling
Friendly, knowledgeable scheduling and clear communication on balances due.
Credentialing
Credentialing is often the most complex and time‑consuming part of standing up or expanding a practice. We identify the right payers for your specialty and market, maintain CAQH, complete and submit applications, track statuses, and manage re‑credentialing. Everything required to get you credentialed is our responsibility—CAQH included.
- Payer panel discovery and recommendations
- CAQH setup and ongoing maintenance
- Provider & facility enrollment applications
- Status tracking, follow‑ups, and escalations
- Re‑credentialing & change management
Insurance Verification
We verify eligibility and benefits before the visit to reduce denials and remove surprises for patients. You’ll get clear benefit notes—including copays, coinsurance, deductibles, and plan limitations—posted to your system.
- Eligibility checks via payer portals/clearinghouse
- Detailed benefits (copay/coinsurance/deductible/OOP)
- Referral and plan limitation checks
- Documentation routed to front desk & clinical teams
Medical Authorizations
Prior authorizations are secured accurately and on time, keeping care moving and protecting revenue. We manage clinical documentation, submissions, status checks, and appeals when required.
- Auth requirements per payer/plan
- Gather and submit clinical documentation
- Monitor status and handle denials/appeals
- Notify scheduling & billing of outcomes
End‑to‑End Billing
We keep claims clean, submit on time, post payments quickly, and follow up on AR until resolved. Expect persistent follow‑up, denial analysis, and clear month‑end reporting.
- Coding checks and claim scrubbing
- Timely submission & payment posting
- AR follow‑up and denial resolution
- Secondary claims & patient statements
- Monthly performance reporting
Appointment Scheduling
Our scheduling team is friendly and accurate, working within your templates while helping patients understand their benefits and balances. We coordinate reminders and pre‑visit requirements so the day of service runs smoothly.
- Call handling and patient requests
- Accurate balance/benefit communication
- Template‑aware scheduling and wait‑list help
- Reminders and pre‑visit coordination