Patient access, handled
Expert front-end and patient-access support, handled entirely by our team, so you can focus on your patients, not paperwork.
Before claims go out
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.
We handle new-provider credentialing and payer enrollment end to end, including 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.
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.
We stop denials at the source through 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.
We build your practice a written patient-access playbook with 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.
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.
We layer HIPAA-safe AI and automation over your front end by 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.
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.
Prevention First. Not Damage Control.
A done-for-you service. Spend less time digging through years of clinical notes, and more time getting patients ready for treatment.
Getting a TMS or Spravato authorization approved means proving a patient’s full medication-trial history, the drugs they tried, the doses, how long, and why each one did not work. That history is buried across years of clinical notes, and finding it eats hours of your staff’s time. We handle that preparation for you. You send the records, we use AI to read and organize them quickly, we check everything against the payer’s real criteria, and we hand back a clean, ready-to-submit authorization packet reviewed by a 20-year patient access expert.
Psychiatric evaluations, progress notes, and medication lists, shared securely under a signed Business Associate Agreement.
Documented medication names, doses, treatment dates, duration, and reasons for discontinuation or inadequate response.
Every finding checked by a patient access expert against the applicable, verified TMS or Spravato payer criteria.
Missing dates, unclear outcomes, and conflicting notes surfaced while there is still time to fix them.
A medication-trial timeline, source references, an evidence summary, and a documentation checklist.
We provide authorization preparation support only. We do not provide medical, legal, or billing advice, and we do not submit claims. All clinical and authorization decisions remain with the practice. Records are handled under a signed Business Associate Agreement in a secure environment, and AI-extracted information is reviewed by a patient access specialist before delivery.
A clear first step
Share a few details about your practice and we’ll reach out with your free Revenue Leak Audit, a no-cost review that shows exactly where your practice is losing revenue.
Request a free auditNo, we handle the front end only (verification, prior auth, credentialing, denial prevention), and make claims clean before they reach your biller.
A free review showing exactly where your front end is losing money, with a plan to fix it.
Yes, we sign a BAA with every client and keep all PHI secure.
Solo providers, group practices, and larger behavioral health groups (5–10+ providers), plus PE-backed platforms.
Yes, it’s a specialty. We manage authorizations, unit tracking, re-authorizations, and REMS.
Yes, we work alongside your biller and within your systems.
Book a free Revenue Leak Audit, no pitch, no obligation.
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.
