Insurance verification
Coverage, history and frequency checked for the visit date.
- Coverage for the visit date
- History and frequency per procedure
- Pre-authorisation needs flagged
Services
Eight services. Start with one, add the next when you are ready.
Each service has a clear outcome, a set of steps we follow every time, and the decisions that stay with your practice.
Claims submission
Every claim checked against the payer’s rules before it goes.
- Every claim checked, not a sample
- Clean claims released on their own
- Narrative claims reviewed by a person
Payment posting and reconciliation
Payments posted and every deposit balanced to the bank.
- Electronic, portal and paper remittances
- Every deposit matched
- Daily close, prepared and approved by two people
Insurance AR follow-up
Unpaid insurance claims worked on a schedule.
- A dated worklist of unpaid claims
- Status checked at the payer’s decision point
- Missing claims resent with proof
Denials and appeals
Every denial read, sorted and answered in time.
- Every denied line picked up
- Appeals sent on the payer’s channel
- Proof of sending kept
Credentialing
New providers enrolled with your main payers, dates watched.
- Applications to every main payer
- Revalidation and licence dates watched
- CAQH attestation kept current
Treatment estimates and pre-authorisation
Requests sent, tracked, and re-checked before the visit.
- Each request logged with its reference
- Decision and expiry recorded per line
- Patient share re-quoted
Reporting
One monthly report written for the owner.
- AR by payer and age
- The next 30 days’ deadlines
- Recovered dollars
See where your insurance money is stuck. Free.
Start with a free insurance AR audit, or book a call and ask us anything.