Built for Ohio community behavioral health and SUD agencies. The denials that don't bounce — they just quietly pay short — caught before the claim goes out.
The expensive one quietly pays short and never lands in your queue. It funds someone else's quarter instead of yours.
A handful of causes your clearinghouse treats as one-offs. We treat them as a pattern — and catch them ahead of time.
One of the most common Ohio BH denials, and one of the most preventable. We check the rendering provider against the payer's directory before the claim goes out — so a status gap never becomes a denial you rework a month later.
Coordination of benefits breaks quietly, and the takeback arrives months later. We flag COB changes the moment coverage shifts, and re-check eligibility ahead of scheduled services, so the lapse never reaches a claim.
A telehealth session billed without its modifier is its own denial — and so is the wrong one. When a note's language suggests telehealth, we flag it for a human to confirm. We never auto-apply, because the keyword can false-positive.
Commercial payers paying under contract. Without the contracted rates loaded, no one catches it. We compare paid-vs-expected on every line and surface the shortfall.
We don't replace your EHR or clearinghouse. We read the files that flow between them, find what pays wrong, and stage the fix — you submit through the same route you always have.
Send us 12 months of remittances and ERAs. We'll show you what you wrote off — free, no obligation.
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