Front desk calls
200+ scheduling, rescheduling, and insurance questions per day — 4–6 hours lost daily
Insurance verification
Manual eligibility checks before visits — 15+ hours/week
Credentialing maintenance
CAQH updates and payer enrollment follow-ups — 8 hours/week
Denial follow-up
Reviewing and correcting rejected claims — 12+ hours/week
How It Works
Week 1
We Map Your Workflows
We evaluate your workflows to pinpoint automation opportunities, enhancing efficiency and revenue without altering clinical processes.
Week 2-3
We Build & Deploy
We integrate directly with your existing systems, ensuring secure and seamless automation of administrative tasks. This approach requires no changes to your current patient-facing processes, allowing clinical workflows to remain unaffected.
Week 4
We Manage It. You Benefit.
We continuously refine your automations to adapt to changes like new payer rules or provider additions. Monthly reports highlight improvements in collections, denial rates, no-show rates, and reclaimed staff hours.
Coverage
Insurance Verification & Eligibility
Real-time eligibility checks run automatically before every appointment. Coverage, copay, deductible status, and prior auth requirements confirmed before the patient arrives.
Can reduce eligibility-related denials by up to 85%. Typically saves 2+ hours of front desk time per day based on common workflow patterns.
Claim Denial Management
Denied claims automatically categorized, root-caused, and queued for correction or appeal. Common denials auto-resolved. Complex denials flagged with recommended action. Deadlines tracked.
Typically recovers an estimated 12–18% of previously written-off claims — averaging $8,000–$15,000/month for a 10-provider group based on industry benchmarks.
Credentialing & Provider Enrollment
Applications tracked from submission through approval. CAQH profiles maintained. Payer enrollment tracked. Expirations flagged 90 days in advance.
Can reduce credentialing timelines from a typical 120 days down to approximately 45 days, helping new providers generate revenue sooner.
Patient Communication & No-Show Reduction
Automated reminders via text, email, and voice. Patients confirm, cancel, or reschedule through automated responses. Canceled slots offered to waitlist. Post-visit follow-ups sent automatically.
Typically reduces no-shows from 20%+ to under 8%, and fills up to 40% of canceled slots.
Prior Authorization
Requirements checked during scheduling. Documentation compiled and submitted electronically. Status tracked with staff alerts.
Prior auth requirements automatically checked at scheduling. Documentation compiled and submitted electronically.
Security & Compliance
SOC 2 Type II Ready
SOC 2 Type II-aligned controls. Documentation available for your compliance team.
HIPAA-Ready
Full administrative, technical, and physical safeguards. BAA signed before any PHI access begins.
US Data Residency
All PHI stored and processed exclusively in US-based data centers. No offshore access, processing, or storage of any kind.
Incident Response Plan
Formal breach notification procedures. Penetration tested annually. Full compliance documentation package for your privacy officer.
Data Encryption
TLS 1.3 in transit, AES-256 at rest. PHI encrypted end-to-end. US-based data residency.
Role-Based Access & Audit Trail
Minimum necessary PHI access. Full audit trail for every data interaction. Annual penetration testing.
Integration
Athenahealth
Scheduling, eligibility, claims, patient communication
eClinicalWorks
Practice management, billing
Epic (Community Connect / MyChart)
Appointments, messaging
Greenway Health / Kareo / Tebra
PM workflows, revenue cycle, billing, scheduling
Availity / Waystar
Claims clearinghouse
CAQH ProView / DocuSign
Credentialing, consents, agreements
Why Managed
“Our EHR already handles this.”
Your EHR handles clinical workflows. The gaps between care and revenue — verification, denials, credentialing, communication — that’s where revenue leaks. We automate what your EHR wasn’t built for.
“HIPAA compliance?”
BAA signed before any data access. PHI encrypted. SOC 2 Type II. US data residency. Full documentation for your compliance officer.
“Healthcare is too complex for automation.”
Our automations are built specifically for healthcare. Payer-specific denial codes. Auth requirements by procedure and payer. Credentialing timelines by state.
Pricing
One Monthly Fee.Everything Included.
Managed automation service starting at
$1,495/mo
Includes: operations audit, EHR integration, verification automation, denial management, credentialing, patient communication, HIPAA compliance + BAA, dedicated account manager, monthly reporting.
Typical outcome for a 12-provider group:
240 hours/week recovered
~$14,000/month in previously written-off claims recovered
~$24,000/month in fees
Estimated ROI: up to 16:1 by month one based on a 12-provider group model. Actual results vary.
FAQ
Your EHR handles clinical workflows. The gaps between care and revenue — verification, denials, credentialing, communication — that's where revenue leaks. We automate what your EHR wasn't built for.
BAA before engagement. PHI encrypted. SOC 2 Type II. US data residency. Full documentation for your compliance officer.
Agreed — our automations are built specifically for healthcare. Payer-specific denial codes. Auth requirements by procedure and payer. Credentialing timelines by state.
Messages use your practice's name and voice. Templates approved by your team. Patients always reach a person. We don't replace relationships — we ensure no patient falls through the cracks.
12-provider group: $827K/year recoverable. Service: $17,940/year. 46:1 return. We calculate your numbers during the free audit.
Learn More About Our Approach.
Philippines
Unit 309, Peninsula Court, Paseo de Roxas cor. Makati Ave., Makati City, Philippines
South Africa
359 Rivonia Boulevard Edenburg, Sandton, 2191 Johannesburg, South Africa
Singapore
68 Circular Road #02-01 Singapore, 049422
Australia
Suit 2, Level 14 189 Kent Street, Sydney, NSW, 2000
