Insurance Benefit Verification

This is where the denial management process begins. At this step we have the opportunity to eliminate denials before you even perform service! Get paid and avoid denials right from the start of the services you provide based good eligibility information!

Knowledge and Experience

Our knowledge of and experience with all payer types enables us to extract information from the payers that will give you the information you need to effectively determine a treatment plan that will treat the patient effectively but also ensure that you get paid for your hard work. Various payers can restrict covered DX codes that support medical necessity, limit your procedure selection and number of units per visit, popup pre-existing conditions and more barriers to payment. Knowing this up front will enable you to provide services that are covered AND avoid denials. A common complaint with PI/PIP/MEDPAY cases is that the DC doesn't know when, how much or even who will pay so we make sure you know that right from the start.

Your Control and Our Communication

If we handle this part of the process you will know your expected patient value and what treatments you will get paid for if you treat the patient.

Applied Technology

Your practice has access to all eligibility information 24/7 through our proprietary billing software, a HIPAA compliant 128 bit encrypted, password protected web based solution.