Revenue cycle management · US healthcare

Every claim tracked.

Every dollar collected.

Claimedic runs medical billing end to end for US practices — coding, claims, denials, and patient statements — so your team stops chasing paperwork and your revenue stops leaking.

Request a free AR audit See what we handle

No long-term contracts required · HIPAA-aligned workflows · Works with your existing EHR/PM system

Claim CM-48291Family Medicine

Coding

Charge entry & codingCPT · ICD-10

Claim scrubbed & submittedPayer: Aetna PPO

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Payer adjudicationIn review

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Payment postedERA received

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Reconciled & reportedClosed out

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Avg. clean-claim cycle~11 days*

CPT & ICD-10 codingClaims scrubbingDenial appealsPayment postingPatient statementsCredentialingEligibility checksA/R follow-upCPT & ICD-10 codingClaims scrubbingDenial appealsPayment postingPatient statementsCredentialingEligibility checksA/R follow-up

The problem

Unbilled and denied claims are lost revenue — even when the care was delivered.

Most practices don't lose money because of bad care. They lose it in the paperwork: a missed modifier, a claim that sits too long, a denial nobody appealed.

Claims go out too late

Payers are slow enough on their own. When charge entry and coding sit behind everything else on a biller's plate, claims that should go out same-day often don't leave until the following week — and every extra day adds to that 5–10% that typically goes uncollected.

Claims fail first pass

A missed modifier, an expired authorization, or a documentation gap is enough to knock a claim out of a payer's automated approval and into manual review — turning a routine reimbursement into weeks sitting in A/R instead of days.

Small denials compound

Chasing a small denial can cost more staff time than it recovers, so it gets written off instead of appealed. Multiply that across a full patient panel — when 60–70% of those denials were actually recoverable — and the leakage adds up fast.

Why Claimedic

Built to fix the parts of billing that actually cost you money.

Faster clean-claim cycles
Claims are scrubbed before they ever reach a payer, so fewer bounce back for rework — averaging about 11 days from encounter to payment.
Denials get appealed, not written off
Most denials are recoverable if someone actually follows up. We triage and appeal inside the payer's filing window instead of letting claims expire in a queue.
No new software to learn
Claimedic works directly inside the EHR or PM system your practice already runs — no exports, no migration, no retraining your front desk.

Average clean-claim cycle~11 days

Of appealed denials recovered60–70%

Response time on new audit requests1 business day

Works with your systems

Plugs into the EHR/PM system you already use.

No exports, no double entry, no switching systems — Claimedic works directly inside the platform your practice already runs on.

athenahealtheClinicalWorksNextGen HealthcareKareoDrChronoAdvancedMDEpicPractice FusionathenahealtheClinicalWorksNextGen HealthcareKareoDrChronoAdvancedMDEpicPractice Fusion

What we handle

The full billing cycle, itemized.

Hand off as much — or as little — as you need. Every card below is a service you can turn on independently.

Charge entry & coding

Accurate CPT, ICD-10, and HCPCS coding from your encounter notes, checked against payer-specific rules before anything goes out.

Claims submission & scrubbing

Every claim is scrubbed for errors and eligibility issues before submission, cutting first-pass rejections.

Denial management & appeals

Denials are triaged, corrected, and appealed on your behalf — not left in a queue until the timely-filing window closes.

Payment posting & reconciliation

ERA/EOB payments posted and reconciled against expected reimbursement, with variances flagged instead of buried.

Patient billing & statements

Clear, accurate patient statements and support fielding billing questions — so your front desk isn't doing it between patients.

Credentialing & payer enrollment

Provider enrollment and re-credentialing with payers handled and tracked, so reimbursement isn't held up by paperwork.

Reporting & analytics

A monthly view of collections, denial rate, and days in A/R — in plain language, not just a raw export.

How it runs

One workflow, from encounter to deposit.

Encounter

Notes come in from your EHR or PM system.

Your documentation comes in directly from the EHR or PM system you already run — no exports, no separate portal, no re-entering what's already in the chart.

Code

Charges coded and checked for accuracy.

Submit

Claim scrubbed and sent to the payer.

Track

Status monitored until adjudication.

Resolve

Denials corrected and appealed fast.

Report

You get paid, and see exactly why.

Step 01 of 06

Encounter

Notes come in from your EHR or PM system.

Payers we work with

We bill every major payer you take.

AetnaCignaUnitedHealthcareHumanaMedicareMedicaidTRICAREBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaMedicareMedicaidTRICAREBlue Cross Blue Shield

Trust & compliance

Built around how US healthcare data has to be handled.

HIPAA-aligned workflowsAccess controls, encrypted transfer, and audit trails on every account we touch.
Business Associate AgreementA signed BAA is standard practice before any PHI changes hands.
US-based account managementA point of contact in your time zone, backed by an operations team handling the day-to-day work.
Payer & specialty familiarityCoders trained on major US payers and specialty-specific billing rules.

HIPAABAA on fileEncrypted transfer

Your PHI never leaves a controlled workflow.

Every file, claim, and note moves through access-controlled, logged systems — the same standard you’d expect from an in-house billing team, at outsourced cost.

Who we work with

Specialty billing, not one-size-fits-all.

Billing rules differ by specialty. Our coders work within the ones that apply to you — across 30+ specialties and counting.

Family & internal medicine

Behavioral & mental health

Physical therapy

Dermatology

Cardiology

Chiropractic

Urgent care

Pediatrics

OB/GYN

Dental

Orthopedic

Neurosurgery

Oncology

General & ambulatory surgery

Pathology & clinical labs

Radiology & imaging

Gastroenterology

Urology

Thoracic surgery

Hematology

Rheumatology

Immunology

Endocrinology

Nephrology

Pulmonology

Podiatry

Ophthalmology

Infectious disease

Geriatrics

Pain management

Psychiatry

DME (durable medical equipment)

Home health & hospice

Long-term & nursing care

What practices say

Practices notice the difference in the first billing cycle.

“We stopped losing track of denials the month we handed billing over. Claims that used to sit for weeks are appealed within days now.”

Sarah M.Practice Owner, Family Medicine

“Onboarding was faster than I expected, and it plugged straight into the EHR we already had — no export, no migration, no retraining the front desk.”

David R.Office Manager, Physical Therapy

“Our days in A/R dropped noticeably in the first quarter, and the monthly reporting means I'm not guessing where things stand anymore.”

Priya K.Practice Administrator, Behavioral Health

Questions we hear most

FAQ

Getting started

We run the full billing cycle end to end — coding your encounters, scrubbing and submitting claims, chasing and appealing denials, posting payments, and handling patient statements — so nothing sits waiting on someone's desk.

Coding & denials

Pricing & contract

Data & security

Coverage & fit

Support & reporting

Get started

Ready to get paid?

Send a few details about your practice and we'll show you where revenue is likely slipping through — no commitment required.

Every claim tracked. Every dollar collected.

Unbilled and denied claims are lost revenue — even when the care was delivered.

Claims go out too late

Claims fail first pass

Small denials compound

Built to fix the parts of billing that actually cost you money.

Faster clean-claim cycles

Denials get appealed, not written off

No new software to learn

Plugs into the EHR/PM system you already use.

The full billing cycle, itemized.

Charge entry & coding

Claims submission & scrubbing

Denial management & appeals

Payment posting & reconciliation

Patient billing & statements

Credentialing & payer enrollment

Reporting & analytics

One workflow, from encounter to deposit.

Encounter

Code

Submit

Track

Resolve

Report

Encounter

We bill every major payer you take.

Built around how US healthcare data has to be handled.

Your PHI never leaves a controlled workflow.

Specialty billing, not one-size-fits-all.

Practices notice the difference in the first billing cycle.

FAQ

Getting started

Coding & denials

Pricing & contract

Data & security

Coverage & fit

Support & reporting

Ready to get paid?

Unbilled and denied claims are lost revenue — even when the care was delivered.

Claims go out too late

Claims fail first pass

Small denials compound

Built to fix the parts of billing that actually cost you money.

Faster clean-claim cycles

Denials get appealed, not written off

No new software to learn

Plugs into the EHR/PM system you already use.

The full billing cycle, itemized.

Charge entry & coding

Claims submission & scrubbing

Denial management & appeals

Payment posting & reconciliation

Patient billing & statements

Credentialing & payer enrollment

Reporting & analytics

One workflow, from encounter to deposit.

Encounter

Code

Submit

Track

Resolve

Report

Encounter

We bill every major payer you take.

Built around how US healthcare data has to be handled.

Your PHI never leaves a controlled workflow.

Specialty billing, not one-size-fits-all.

Practices notice the difference in the first billing cycle.

FAQ

Getting started

Coding & denials

Pricing & contract

Data & security

Coverage & fit

Support & reporting

Ready to get paid?

Every claim tracked.

Every dollar collected.