Cleaner claims, faster follow-up and clear reporting, handled by people who learn your payers and your software.
Revenue cycle problems rarely come from one big mistake. They build up from small ones: a missing modifier, a rejected claim nobody reworked, an aging balance that slipped past 60 days. Our billing team works the whole cycle so those small issues are caught early.
We work inside the practice management or EHR system you already use, so there is no forced migration. You keep ownership of your data and your payer accounts.
Scope is agreed with you in advance, so you know who is responsible for what.
Charges are reviewed against visit documentation and payer rules, then submitted electronically with scrubbing for common errors.
ERAs and EOBs are posted and matched to deposits so your ledger reflects what was actually paid.
Each denial is investigated, corrected and resubmitted or appealed, with the root cause logged so it does not repeat.
Aging claims are worked by payer and by age bucket, with escalation when a payer stops responding.
Patient balances are billed clearly and consistently according to your practice policies.
You receive a regular summary of charges, collections, denials and A/R so you can see what is happening in the revenue cycle.
We look at your software, payer mix, current A/R and common denial reasons.
We agree scope, access, reporting format and who handles which task.
Claims, posting, denials and A/R are worked on a regular schedule.
You get regular reports and we adjust the workflow as patterns appear.
No. We work in the system your practice already uses, provided we can be given appropriate access.
Medical billing is offered at 3% of collections. We confirm covered services, minimums and any additional charges in your written proposal after reviewing your practice.
Yes. Your data stays in your system, and you receive regular reports.
Work that involves protected health information is done under a Business Associate Agreement and with access limited to what the task requires.
Care Tribune does not guarantee payer approvals, reimbursement amounts or search rankings. Results depend on payers, documentation and your practice's circumstances.
Medical billing at 3% of collections. Final scope, minimums and any additional fees are confirmed in your written proposal.
We check patient demographics, coverage information, rendering and billing provider details, and required claim fields. Eligibility and benefits verification can be included with billing so your team can identify coverage questions before the visit. Benefits are not a guarantee of payment.
We distinguish clearinghouse rejections from payer denials, identify the correction or supporting documentation needed, and track the next action. Appeals follow payer deadlines and your approved documentation; clinical decisions remain with your provider.
A/R follow-up prioritizes timely filing exposure, aging balances and unresolved payer requests. We separate insurance responsibility from patient responsibility and flag items requiring your approval before write-offs or adjustments.
Agree on weekly or monthly reporting for submissions, payments posted, outstanding claims, denial reasons and follow-up actions. Reports should show both completed work and exceptions that need an owner.
Tell us your specialty, provider count, software, expected volume and the work you want to hand off. Use the consultation for business information; do not send patient records.
Confirm responsibilities, pricing, coverage, reporting and exclusions. Identify a practice contact for approvals and a plan for any existing backlog.
Agree on secure access and any required agreements before work starts. Review the first task queue together and set a regular time to discuss open items.
Yes. We first define a cutover date, reconcile access and outstanding work, and separate old A/R from new claims. Historical cleanup and ongoing billing are scoped before the handoff.
Need support across more than one workflow? Explore medical billing, medical virtual assistants and provider credentialing.
Tell us which tasks are slowing you down and we will explain how we can help.
We tailor billing workflows to your services, payer mix and documentation requirements. Confirm the scope for your specialty during your consultation.
Support for psychiatrists, therapists and counseling practices, including session-based claims, telehealth billing, EAP authorization tracking and payer follow-up.
Explore mental health billing →Eligibility review, claim submission, payment posting and follow-up for office visits and preventive services, with attention to payer-specific billing requirements.
Administrative support for dental benefits verification, claim preparation, supporting-document coordination and outstanding insurance balances. Dental system access and procedure-code workflows are agreed before onboarding.
Billing support for ongoing specialty care, including coverage checks, referral and authorization tracking where required, claim submission and denial follow-up.
Coordination of eligibility, authorization details, required billing information and claim follow-up. We confirm your service model, payer requirements and agency billing workflow before defining the scope.
Administrative review of supplied billing records, payer coverage requirements and claim status. Clinical staff remain responsible for patient eligibility, consent, device requirements and documenting the services and time actually provided.
Coverage and payment depend on the payer, benefit plan, documentation and services delivered. Specialty support does not guarantee reimbursement.
