Fast tracking your claims from submission to clearinghouse reconciliation with automated scrubbing to eliminate leakage
Our daily scrubbing ensures claims are "Clean" before they ever hit the clearinghouse.
Claims are processed and submitted within 24 hours of encounter completion.
We strictly monitor payer-specific timely filing limits to protect your revenue.
More than just data entry—we provide active oversight for every single dollar.
Every claim undergoes a rigorous internal audit. We check for CCI edits, invalid modifiers, and demographic mismatches to prevent front-end rejections.
We utilize high-tier clearinghouses for instant electronic submission. For smaller payers, we handle manual paper claim submission with tracked documentation.
We don't stop at the primary payer. We automatically process secondary and tertiary claims with attached EOBs to ensure 100% reimbursement.
Our systematic methodology ensures clinical data is accurately translated into revenue with zero leakage at every touchpoint.
Daily audits of patient encounters to ensure clinical documentation substantiates every charge.
Proactive monitoring of transmission reports to resolve "Rejected" claims before they become aging issues.
High-precision payment and adjustment posting to ensure your A/R aging reports reflect real-time liquidity.
Monthly reporting on denial trends to identify and eliminate recurring errors at the point of care.
Send us your most "difficult" claims, and we will show you the ProRCM difference at zero cost.