FRONT-END SERVICES
CREDENTIALING & ENROLLMENT
FRONT-END SERVICES
- Patient Registration & Demographics
- Accurate capture of insurance + personal data
- Reduces rework and claim rejections
- Eligibility & Benefits Verification
- Automated checks for active coverage
- Prevents costly eligibility denials
- Prior Authorization Management
- Procedure approvals submitted on time
- Stops lost revenue due to missing auths
- Patient Financial Engagement
- Clear estimates & communication
- Reduces patient confusion and payment delays
MID-CYCLE SERVICES
CREDENTIALING & ENROLLMENT
FRONT-END SERVICES
- Charge Entry & Auditing
- Complete & compliant charge capture
- Fixes missing/incorrect charges up-front
- Medical Coding — Pro & Facility
- CPT, ICD-10, HCPCS accuracy across specialties
- Aligned with payer policies + CCI edits
- Risk Adjustment Coding
- Chronic condition documentation support
- Fair reimbursement for high-risk patients
- Medical Code Auditing
- Quality assurance for accuracy & compliance
- Reduced audit exposure & payer takebacks
BACK-END SERVICES
CREDENTIALING & ENROLLMENT
CREDENTIALING & ENROLLMENT
- ERA / EOB Posting
- Speed + accuracy in every posting
- Variance tracked instantly for action
- Credit Balance Management
- Fast resolution of overpayments
- Zero compliance risk
- Write-Off Validation
- Strong approval governance
- Protects margins & audit readiness
- Claims Scrubbing & Submission
- Automated error edits + clean claim success
- Faster submission cycles with visibility
- Denial Management & Appeals
- Root-cause correction + strong follow-up
- Prevents repeat denials going forward
- A/R Follow-up & Collections
- Automated prioritization (payer + age + value)
- Recover more revenue, more efficiently
- Patient Billing & Support
- Friendly, structured outreach
- Improves patient payment response
CREDENTIALING & ENROLLMENT
CREDENTIALING & ENROLLMENT
CREDENTIALING & ENROLLMENT
- Payer Enrollment
- Quick onboarding with all major payers
- Avoid revenue gaps when adding providers
- Revalidations & Maintenance
- Continuous compliance with payer rules
- Prevents claim rejections due to expired status