75% of denials are due to eligibility issues. ProRCM verifies every patient 48-72 hours before their appointment, ensuring coverage is active and authorizations are in place.
Stop "Inactive Coverage" and "Non-Covered Service" denials before they happen.
We secure Prior Authorizations and Referrals, guaranteeing your procedural revenue.
Know the patient's exact co-pay and deductible 48 hours before they walk in the door.
We provide a full breakdown so your front desk knows exactly what to collect.
We confirm primary, secondary, and tertiary coverage. We specifically check Coordination of Benefits (COB) to ensure the correct payer is billed first.
We obtain precise data on remaining deductibles, co-insurance percentages, and fixed co-pays, allowing for accurate point-of-service collection.
Our specialists handle the paperwork for required authorizations for surgeries, high-cost imaging (MRI/CT), and specialty medications.
High Front-End Rejections
Uncollected Co-pays
Staff spends hours on phone
99% Clean Claim Submission
Increased POS Collections
24/7 Automated Monitoring
Don't treat patients for free. Let us verify your first 100 appointments for free to prove our accuracy.