Our Services
Expert front-end and patient-access support, handled entirely by our team — so you can focus on your patients, not paperwork.
What We Handle For You
Insurance Verification
We confirm active coverage, benefits, copays, deductibles, and visit limits before every appointment — and we check the behavioral health carve-out (Optum/UBH, Carelon, Magellan) separately, where most denials begin. We also verify telehealth coverage and each provider’s in-network status, so you collect what you’re owed from day one.
Credentialing & Enrollment
We handle new-provider credentialing and payer enrollment end to end — CAQH, Medicare (PECOS), Medicaid, and commercial payers — so your providers start billing sooner. We track every re-attestation, re-credentialing date, and license or DEA renewal, so a credential never lapses and quietly turns into denied claims.
Prior Authorization
We manage the full authorization cycle — submitting with the right medical-necessity documentation the first time, tracking every auth and its unit count, and starting re-authorizations before they expire. We specialize in high-burden treatments like TMS and Spravato, so approvals come faster and no patient’s care stalls waiting on insurance.
Denial Prevention & Appeals
We stop denials at the source — clean verification, correct carve-out routing, and valid authorizations so claims go out right the first time. When a denial does happen, we work the appeal with the right clinical documentation and payer-specific requirements. The goal is simple: fewer denials, and the ones that slip through, recovered.
Front-Desk SOPs & Training
We build your practice a written patient-access playbook — step-by-step SOPs for scheduling, verification, check-in, and point-of-service collections — and train your front desk to run it consistently. So your revenue doesn’t depend on one person’s memory, and stays protected even when staff are out or new hires come on.
Revenue Leak Audit
This is our free front door. We review your front-end operations — verification, prior auth, credentialing, denials, and collections — and show you exactly where your practice is losing money before claims ever go out, with a clear dollar figure and a plan for what to fix first. No pitch, no obligation.
AI Workflow Automation
We layer HIPAA-safe AI and automation over your front end — automating eligibility checks, authorization tracking with deadline alerts, appeal and medical-necessity letter drafting, and monthly reporting. You get faster, more consistent operations without adding staff, so nothing slips through the cracks.
Behavioral Health Practice Setup & Launch
Opening a new practice or adding a provider? We handle the front-end setup from start to finish: payer enrollment, credentialing, EHR and intake forms, single case agreements, and front-desk workflows, so you’re ready to see patients. No billing required.
Frequently Asked Questions
Do you do medical billing?
No — we handle the front end only (verification, prior auth, credentialing, denial prevention), and make claims clean before they reach your biller.
What is a Revenue Leak Audit?
A free review showing exactly where your front end is losing money, with a plan to fix it.
Is my data secure?
Yes — we sign a BAA with every client and keep all PHI secure.
What size practices do you work with?
Solo providers, group practices, and larger behavioral health groups (5–10+ providers) — plus PE-backed platforms.
Do you handle TMS and Spravato?
Yes — it’s a specialty. We manage authorizations, unit tracking, re-authorizations, and REMS.
Do you work with my current biller and EHR?
Yes — we work alongside your biller and within your systems.
How do we get started?
Book a free Revenue Leak Audit — no pitch, no obligation.
How much do your services cost?
Every engagement is customized to your practice’s size and needs — no software fees, no hidden costs. It starts with a free Revenue Leak Audit, so you see exactly what you’re losing before choosing a plan. From there, we build a simple monthly service plan that fits.