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TIER 2

Insurance Billing / AR / Claims

Full claim lifecycle management from submission through payment posting, denial resolution, and accounts receivable optimization.

Capacity~300–400 claims/month
Best ForOffices needing full claim lifecycle management

Scope of Services

What's included in this tier

01

Claim Submission

Prepare and submit primary/secondary claims electronically with proper CDT coding

02

Claim Follow-Up & Denial Management

Track unpaid claims, work rejections, submit appeals

03

Accounts Receivable (A/R) Management

Monitor aging reports, prioritize high-balance claims

04

Payment Posting

Post EOBs/ERAs, reconcile payments, identify underpayments

05

Insurance Correspondence

Handle insurance communications, provide additional info

06

Coding Accuracy Review

Verify CDT codes match clinical notes

Key Deliverables

Guaranteed outcomes for your practice

Claims submitted within 24–48 hours of treatment

A/R aging report maintained (target: <30 days average)

Denial resolution within 14 days

Monthly billing performance report (collection rate, denial rate, days in A/R)

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