Medical Billing

Fix the claim before the payer does.

Every claim is scrubbed against payer rules before it leaves your practice. What the scrub catches gets fixed in minutes — not worked as a denial six weeks later.

Pre-submission scrubbingDenials worked to resolutionFull remittance reconciliation
Claim 837P
Pre-submission scrub
Clean
99214-25$168.00
20610-RT$142.00
J3301×4$38.40
Eligibility verified
Modifier -25 justified
Missing NDC on J3301Caught & fixed
NCCI bundling cleared
Ready to submit$348.40

The claim lifecycle, end to end.

Five stages from eligibility to payment — with the scrub in the middle, where a denial is still just an edit.

Stage 01

The cheapest denial to prevent

Coverage and authorization failures are among the most common reasons claims come back, and they are almost entirely avoidable. Verification happens before the patient is seen, not after the claim is rejected.

Real-time eligibility and benefits check
Prior authorization requirements surfaced early
Patient responsibility known before the visit
Step 1 of 5
Revenue cycle

What changes for your revenue.

The work moves from chasing denials after the fact to preventing them before submission.

Fewer
denials to work at all

Prevention beats appeal

An appealed denial costs staff time and delays payment by weeks. Catching the same issue in the scrub costs a correction before submission.

Shorter
days in accounts receivable

Money stops sitting in A/R

Clean claims pay on the first pass, and what does not is worked by age rather than discovered during a quarterly review.

Higher
first-pass acceptance

More claims land the first time

Payer-specific edits are applied before transmission, so the first submission is the one that gets paid.

Full
visibility per claim

You can see where the money is

Every claim's status, history, and blocker is visible — not summarized in a monthly report you cannot act on.

Recovered
contractual underpayments

Paid correctly, not just paid

Remittances are checked line by line against your contracted rates, so silent underpayments get identified and appealed.

Less
administrative load on staff

Your front office stops firefighting

When the scrub prevents the denial, staff spend their day on patients and posting instead of payer phone queues.

Everything between the visit and the payment.

One team and one trail across the whole revenue cycle — not five vendors with five portals.

Verified before the patient is seen

Eligibility & Auth

Coverage, benefits, and authorization requirements are confirmed ahead of the encounter, so a claim is never built on a plan that will not cover it.

Real-time eligibility and benefit checks
Authorization requirements surfaced pre-visit
Patient responsibility estimated up front
Worked example
Plan

Active — commercial PPO, verified today

Auth

Required for 20610 — obtained, #A4471902

Deductible

$450 of $1,500 met

Patient est.

$68.00 copay + coinsurance

Why practices move billing here.

Most billing services are measured on how well they work denials. The better measure is how few there are to work.

Typical billing service

Submit, then chase

When errors are caughtAfter the payer rejects the claim
Denial handlingResubmitted as-is and hoped through on the second pass
Coding handoffCodes arrive from a separate vendor with no clinical context
Payment reviewPayment posted as received — the payer's number is final
VisibilityA monthly report that arrives too late to act on
NOTENRA

Scrub, then submit

When errors are caughtBefore the claim is transmitted, while it is still an edit
Denial handlingTriaged by root cause, appealed, then prevented at the source
Coding handoffCodes arrive reviewed, with the documentation that supports them
Payment reviewPosted against your contract, with underpayments appealed
VisibilityPer-claim status and blockers visible while they still matter
One clinical record

Billing is only as good as what reaches it.

A billing team working from codes it cannot trace spends its day reconstructing context. When documentation, coding, and billing share one record, the claim arrives already supportable.

1

Documentation

The encounter is captured and clinician-reviewed.

2

Coding

Codes are assigned from that record and verified by a certified coder.

3

Billing

The claim is scrubbed against payer rules with the supporting evidence already attached.

HIPAA compliant
BAA executed with every practice
SOC 2 Type II
Independently audited controls
AES-256 & TLS 1.3
Encrypted at rest and in transit
Auditable trail
Every claim action logged and attributable

Billing questions.

No. Billing works alongside your existing PM and EHR through the same integrations used elsewhere on the platform. Claims are built from the data already in your system rather than requiring a migration.
Medical Billing

Stop working denials you could have prevented.

Bring a recent batch of denied claims to the demo and we will show you which ones the pre-submission scrub would have caught.

Every claim scrubbed pre-submission
Per-claim visibility, not monthly reports
HIPAA compliant & BAA included