Process
Patient. Provider. Payer. Paid.
A patient books, and their coverage is verified before they reach your front desk. Within 48 hours the visit
is coded, charged, scrubbed, and on its way to the payer as a clean claim. Anything short of full payment gets
chased, appealed, or escalated until the money is in your account.
STEP 1
Patient
Books a visit. Coverage verified before check-in.
STEP 2
Provider
Documents the encounter. We code and charge it within 48 hours.
STEP 3
Payer
Receives one clean claim. Acknowledgment tracked from minute one.
STEP 4
Paid
Remittance posts same day. Variances flagged, denials fought.
837 →the claim file, sent clean the first time
← 277CAthe payer’s acknowledgment, tracked from minute one
← 835the remittance, posted to your ledger the day it lands
$145.00Charge — billed to the payer
− $36.58CO-45 — contractual adjustment, expected and verified
$108.42Paid — posted the day the 835 lands; patient share collected at
check-in