Revenue Cycle Management

The foundational services that keep your revenue cycle running accurately and efficiently — from first contact to final payment.

    • Benefits and eligibility verification

    • Coverage / plan participation confirmation

    • Deductible / copay / coinsurance verification

    • Out-of-network benefit checks

    • Authorization requirement identification

    • Initial authorization submission

    • Clinical documentation coordination

    • Authorization tracking / follow-up

    • Extension / renewal requests

    • Retro auth support when applicable

    • Charge entry / claim submission

    • Claim scrubbing / claim edits

    • Electronic and paper claim filing

    • Secondary claim submission

    • Corrected claim / resubmission handling

    • Insurance and patient payment posting

    • ERA / EOB reconciliation

    • Deposit balancing

    • Payment discrepancy identification

    • Insurance aging follow-up

    • Patient aging / balance follow-up

    • Underpayment review

    • Unpaid claim resolution

    • Timely filing recovery efforts

    • Denial analysis & root cause identification

    • Appeal / reconsideration submission

    • Denial trend reporting

    • Prevention workflow recommendations

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