Eight disciplines, one operating system.

Real-time eligibility, coverage and authorization checks before the visit, not after the claim.

Automated payer portal and clearinghouse checks confirm eligibility, benefits and prior-auth requirements ahead of service, so front-desk staff never guess at coverage.

Root-cause analytics and rework loops that shrink denial volume and days in appeal.

Every denial is classified against 244 CARC and 1,339 RARC codes, routed to the right specialist, and fed back into front-end edits so the same denial does not recur.

Certified coders with AI-assisted abstraction to lift specificity and defend on audit.

AAPC/AHIMA-certified coders work with AI abstraction support across specialties, with dual-review QA on high-risk encounters and full audit trails.

Aged-receivable resolution with payer-specific playbooks and escalation thresholds.

Worklists are prioritised by recoverable value and payer SLA rather than age alone, with defined escalation paths for stalled balances.

Clinically-backed appeals, organized for payer and regulatory scrutiny.

Appeal packets cite NCD/LCD policy directly from the CMS API and assemble clinical documentation in the structure each payer expects.

Contract and rate negotiation with a data-backed view of your payer mix.

We model reimbursement across your payer mix and bring documented underpayment evidence to renegotiation and settlement conversations.

Automated posting with exception queues that reconcile to the cent, daily.

ERA and manual EOB posting with automated variance detection, daily reconciliation and exception queues that never carry over silently.

Refunds, credits, corrections and correspondence handled without a phone call.

Credit balances, refunds, charge corrections, patient correspondence and payer mail — processed on documented SOPs with measured turnaround.