Full-spectrum medical billing

One billing partner for your entire payer mix.

Commercial, Medicare, workers' compensation, no-fault auto, personal injury liens. We handle every payer type in a single pipeline so nothing falls through the cracks.

Rachel Park
CLM-20261847
Aetna Commercial
CPT Code 99213 99214
Modifier None 25
Dx Pointer 1 1, 2
Expected $142 $211
Scrubbed Submitted Paid
3 issues
Caught before submission
+$69
Revenue uplift
Paid
James Mitchell
CLM-20263902
Travelers WC
Adjuster Missing J. Reynolds
WC Claim # Missing 2026-83471
CPT Code 99213 99214
Expected $0 $3,840
Scrubbed Submitted Paid
2 fields missing
WC-specific fields added
+$3,840
Would have been denied
Paid
Sandra Flores
CLM-20265108
PI Lien
Attorney Untracked Smith & Assoc.
Lien filed No Yes - recorded
Settlement Pending Tracked
Lien value $0 $12,400
Filed Tracked Collected
Untracked
Lien now filed & monitored
$12,400
Recovered from settlement
Collected
Trusted by healthcare organizations nationwide
Tuli Eye Care Center Jasper Spine Institute Bayshore Ophthalmology Inman Associates Neurological Associates of New Jersey
End to End

Every payer type. One pipeline.
Follow a claim. See what clean looks like.

Whether it's a routine Aetna commercial claim or a workers' comp packet going to an adjuster, every step runs through the same engine.

Prior Authorization

Authorized before care begins

Standard payer portals, workers' comp adjuster packets, no-fault auto medical forms. We submit prior authorizations to every payer type your practice bills.

Replaces
Payer portals Adjuster calls Manual packets
Authorization Queue All payer types
Requested
Chen, L.
MRI lumbar
BCBS Commercial
In Review
Martinez, R.
Nerve conduction study
Travelers Workers' Comp
Secured
Johnson, K.
Spinal cord stim.
UnitedHealthcare
Payer Follow-Up Working
83471 Travelers · adjuster J. Reynolds Contacted
72104 Aetna · claim status Followed up
90217 Smith & Associates LLP Lien tracked
21084 GEICO Auto · medical form Submitted
Payer Follow-Up

Every payer chased, every claim tracked

Commercial payer portals, workers' comp adjusters, lien attorneys. We follow up with every party across every channel so your billers don't have to.

Replaces
Payer phone calls Adjuster follow-up Portal logins
Claim Scrubbing

Optimized for every payer's rules

CPT upcodes caught for commercial claims. Adjuster fields and claim numbers populated for workers' comp. Every payer's submission rules enforced before a claim goes out.

Replaces
Manual coding review Charge entry Billing software
Claim Scrubbing Ready to submit
CPT Code 99213  99214
Modifier None  25
WC Adjuster Missing  J. Reynolds
WC Claim # Missing  2026-83471
Scrubbed for commercial, Medicare, WC, auto, and PI rules
AI Appeals 4 in flight
83471 Travelers Indemnity Appealed
21084 GEICO Auto Appealed
90217 Smith & Associates LLP Drafting
72104 Aetna Queued
Denial Management

Every denial appealed with the right approach

Commercial denials get clinical appeal letters. Workers' comp denials go back to adjusters with supporting documentation. Every payer gets the format they actually respond to.

Replaces
Manual appeals Denial tracking Rework queues
Receivables Resolution

Every claim tracked to payment

Commercial claims on a 14-day cycle. Workers' comp on 60-90 days. PI liens open for months. We track every receivable on its own timeline until money arrives.

Replaces
Aging reports Follow-up calls Lien spreadsheets
Receivables Dashboard All payers
· Commercial & Medicare · 14 day cycle Tracking 134
· Workers' compensation · 60-90 day cycle Tracking 47
· No-fault auto · 30 day cycle Tracking 18
· Personal injury liens · open lawsuits Tracking 23
Payments Posted Reconciled
Aetna commercial remittance $2,180.00
Travelers WC carrier payment $3,840.00
PI lien escrow release $1,250.00
Contractual adjustments -$612.00
Net collected $6,658
Payment Posting

Posted, reconciled, closed

Commercial ERA auto-posted. Workers' comp checks matched. Lien escrow released. Every remittance reconciled against expected, variances flagged automatically.

Replaces
Manual posting Reconciliation Lien tracking

Every payer. Every claim. One partner.
That's the point.

From audit to recovered revenue

We start with a free audit. We scan your claims data across every payer type, find where revenue is leaking, and show you in under a week. If you like what you see, we run your full revenue cycle.

01

Connect read-only access

You give us read-only access to a sample of your claims data. No billing software integration, no implementation work, no team disruption. We sign a Business Associate Agreement before you share anything.

02

We audit the leaks

Within five business days, we deliver a report breaking down where revenue is being lost across your full payer mix. We catch standard billing errors and the non-health payer leaks that most billing companies miss entirely. Most practices see 6-18% of annual collections sitting on the table.

03

You decide what's next

Keep the audit findings as a one-time deliverable, or hand us your full revenue cycle: commercial, Medicare, workers' comp, auto, PI liens, all of it. Percentage of collections, no long-term contract. We only win when you collect more.

The Audit
What the audit typically finds
6-18%
of annual collections lost to billing gaps across payer types
94%
clean claim rate after scrubbing for all payer rules
5 days
from data access to a full audit report
5 payer types
handled in one pipeline: commercial, Medicare, WC, auto, PI
FAQ
Common questions

All of them. Commercial, Medicare, workers' compensation, no-fault auto, and personal injury liens all run through one pipeline. Most billing companies handle the first two and stop. We handle all five, which means your practice doesn't need separate workflows or vendors for injury-care claims.

We still handle your full revenue cycle. The same engine that scrubs workers' comp claims also catches CPT upcodes, missing modifiers, and standard commercial billing errors. Injury care expertise is our differentiator, but clean claim submission and denial management work the same way for every payer.

You share a sample of your claims data with us under a Business Associate Agreement. Within five business days, we deliver a written report showing exactly where revenue is leaking, concentrated in non-health payer channels. No commitment to convert; the audit is a one-time deliverable.

A percentage of collections. We only win when you collect more, aligned incentives. No per-seat licensing, no implementation fees, no long-term contract.

No. The audit runs on your existing claims data. Full revenue cycle management doesn't require an electronic health record migration. We work with whatever practice management software you're on today.

Yes. We sign a Business Associate Agreement with every audit and every client. Standard HIPAA-aligned infrastructure: encryption in transit and at rest, access controls, audit logging.

See exactly where revenue is falling through the cracks

We audit your full payer mix in five business days. Standard billing gaps, missed injury-care revenue, all of it. No commitment, no software integration. Book a 15-minute kickoff.