Services
CLAIM IQ™ — Intelligent Denial Prevention Service
A smart billing heuristic service that analyzes claims before submission to identify:
CPT/ICD mismatches
Modifier errors
Missing authorization risks
Medical necessity issues
Frequency limit violations
Bundling/unbundling edits
Purpose:
Reduce denials before claims are sent to insurance carriers.
Best For:
ASCs, orthopedic practices, pain management, ophthalmology, and specialty practices.
Core Selling Point:
“Catch denials before insurance does.”
REVIVE AR™ — High-Dollar AR Recovery Service
A billing heuristic system focused on aging claims and underpaid accounts receivable.
Uses pattern recognition and workflow logic to:
Prioritize high-recovery claims
Detect payer stall patterns
Identify underpayments
Flag timely filing risks
Organize appeals strategy
Predict collectible balances
Purpose:
Increase collections and recover lost revenue faster.
Best For:
Practices with high AR volume or old unresolved claims.
Core Selling Point:
“Recover hidden revenue sitting in your AR.”
HEURISTIC FLOW™ — AI Revenue Cycle Optimization Service
An AI-assisted workflow optimization service for medical billing operations.
Focus Areas:
Workflow bottlenecks
Staff productivity tracking
Claim turnaround times
Authorization delays
Eligibility verification gaps
Billing error trends
Insurance communication inefficiencies
Purpose:
Improve operational efficiency and reduce revenue leakage.
Best For:
Growing medical billing companies, ASCs, and multi-provider practices.
Core Selling Point:
“Turn your billing department into a smarter revenue machine.”
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