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Claims tracked in one place instead of three

Medical billing company · Arizona

Claims used to live in provider paperwork, spreadsheets, and insurance websites. I built one system that carries each claim from the provider’s records to the insurer’s receipt to the books.

  • 20+ provider clients
  • Thousands of claims a month
  1. Records come inChecked the moment they arrive
  2. Claim builtChecked against the insurer’s rules first
  3. Sent to the insurerThe insurer’s receipt is saved as proof
  4. Matched to the booksA report that lines up with your accounting

The problem

  • Records arrived from providers, and most claims went to one state insurer. Each claim was put together by hand, sent through insurance websites, and tracked in spreadsheets.
  • Whether a claim had been sent or received depended on who touched it last.

What it does

  • One list for every biller, instead of three programs.
  • Every claim shows where it is and what it is waiting on.
  • Month-end matching is a report, not a project.
  • Nobody types a number twice.