Full Service RCM
Full Service RCM
Embedded Files
Patient Eligibility & Insurance Verification
Real-time electronic eligibility checks (coverage status, effective dates, and benefit caps).
Detailed benefit breakdowns, including patient copays, coinsurance, and deductible tracking.
Primary, secondary, and tertiary payer identification to eliminate coordination-of-benefits denials.
Prior Authorization Management
End-to-end medical necessity reviews and prior authorization submissions.
Proactive tracking of pending authorization requests to prevent appointment delays.
Payer peer-to-peer facilitation and expedited authorization appeals.
Claims Management & Scrubbing
Pre-submission audit and code verification.
Electronic EDI submission to commercial payers, NJ Medicaid, and Medicare.
Rapid rejection management within 24–48 hours.
Payment Posting & Reconciliation
ERA and manual EOB payment posting.
Patient copay and deductible tracking.
Account reconciliation.
Denial & Appeals Management
In-depth investigation of unpaid or denied claims.
Formal secondary appeals and corrective claim filings.
Insurance payer follow-ups.
Transparent, All-Inclusive RCM Partnerships
We believe in removing financial friction so your practice can scale. Instead of hitting you with massive upfront implementation invoices or hidden fees, our All-Inclusive Monthly Retainer Model combines everything you need-from initial provider credentialing and clearinghouse setup to end-to-end claim scrubbing and A/R follow-up-into a predictable, value-driven structure. You focus on patient care; we protect your bottom line.
Page updated
Report abuse