Our End-to-End Billing Process
Twelve defined steps, each with a clear owner and a clear output. You always know where a claim is and what happens next.
- 1
Practice Assessment
We review your specialty mix, payers, current billing workflow, open AR, and denial history to establish a baseline.
- 2
System Setup
Access is configured in your EHR or practice management system, clearinghouse, and payer portals, with roles kept to the minimum needed.
- 3
Eligibility Verification
Coverage and behavioral health benefits are confirmed ahead of the visit, including copay, deductible, coinsurance, and session limits.
- 4
Authorization Verification
Authorization requirements are checked, requests submitted, and approved units tracked against scheduled sessions.
- 5
Charge Entry
Charges are entered from provider documentation with correct service, modifier, place of service, and rendering provider details.
- 6
Claim Review
Each claim is scrubbed for payer-specific requirements and common front-end errors before it ever leaves the system.
- 7
Electronic Claim Submission
Clean claims are transmitted electronically in daily batches to keep the revenue cycle moving predictably.
- 8
Clearinghouse Monitoring
Acceptance and rejection reports are reviewed daily, and rejections are corrected and resubmitted immediately.
- 9
Payment Posting
ERA and EOB payments are posted and reconciled, with adjustments, write-offs, and patient responsibility applied accurately.
- 10
Denial Management
Denials are researched to root cause, corrected or appealed with documentation, and tracked until resolution.
- 11
AR Follow-Up
Aging is worked by payer and bucket with documented, persistent follow-up on unpaid and underpaid claims.
- 12
Revenue Reporting
Recurring reports show submissions, collections, denial trends, and AR aging, with recurring issues flagged for correction.
How a Claim Travels
From the moment a patient is seen to the moment the balance is resolved.
- Patient Visit
- Eligibility
- Authorization
- Charge Entry
- Claim Submission
- Clearinghouse
- Payer
- ERA/EOB
- Payment Posting
- Denial/AR Follow-Up
- Resolution
Want This Process Running in Your Practice?
We start with a practice assessment and show you exactly what the first 30 days would look like.