Expert Medical Claims Processing and Submission Services

Pre-Submission Quality Assurance

Every claim undergoes rigorous quality control before submission. Our automated scrubbing technology validates NCCI edits, verifies LCD/NCD compliance, and confirms demographic accuracy, while our expert team manually reviews complex claims to ensure optimal reimbursement potential.

Automated Claim Scrubbing

Advanced technology validates every claim component before submission.

Manual Expert Review

Complex claims receive specialized attention from our billing professionals.

Specialty-Specific Claims Expertise

Our specialized knowledge spans multiple medical disciplines. From anesthesia time-based calculations and radiology technical splits to mental health session documentation and bundled payment navigation, we understand the unique billing requirements of your specialty.

Professional Claims

Comprehensive handling of physician and provider claims.

Facility Claims

Expert processing of outpatient facility and ASC claims.

Anesthesia Claims Processing

Specialized time-based unit calculations and modifier optimization.

Radiology Claims Management

Technical/professional splits and multiple procedure expertise.

Mental Health Claims

Session documentation and collaborative care billing.

Proactive Claim Management

Daily Status Monitoring

Our dedicated claims management team provides continuous oversight of all submitted claims through comprehensive daily monitoring protocols. We track each claim from initial submission through final payment, maintaining detailed logs of payer acknowledgments, processing milestones, and any status changes.

Timely Filing Protection

Our comprehensive timely filing protection program safeguards your practice revenue through meticulous deadline tracking and proactive claim management. We maintain an extensive database of payer-specific filing deadlines, including variations for different plan types, state regulations, and special circumstances such as corrected claims and appeals.

Coordination of Benefits

Automated primary and secondary insurance processing.

Global Period Management

Post-operative visit tracking and modifier optimization.

Bundled Payment Navigation

Expert handling of bundled payment scenarios and carve.