Billing is where everything upstream either pays off or falls over. The coding can be right, the eligibility checked, and the claim still fails because a payer expects a field populated in a way that isn't obvious from the form.
We prepare and submit claims from your existing system, scrub them against payer-specific edits before they go out, and track each one through to payment rather than handing it off and assuming.
What's included
- Claim creation from your charge capture, not a re-keyed copy
- Payer-specific edits applied before submission, not after rejection
- Clearinghouse rejections worked same-cycle rather than queued
How it's handled
Professional and facility claims on CMS-1500 and UB-04, scrubbed against payer edits before submission.