Revenue Cycle Management
Claim submission, charge entry, payment posting, denial management and collections, handled promptly so your revenue cycle runs smoothly.
Out-of-Network Billing
Get paid fairly without a payer contract. We handle out-of-network rules, documentation and follow-up so reimbursement arrives on time.
Problems we solve
Denied and rejected claims
Claims come back for coding, eligibility or documentation errors that could have been caught before submission.
Slow payments and aging A/R
Open claims sit unworked while your staff are busy with the day-to-day.
Staff time lost to payers
Phone calls, payer portals and appeals take hours away from patients and operations.
What's included
Out-of-network claim submission
Payment negotiation support
Appeals for underpaid claims
Patient balance communication
How it works
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1
Free consultation
Tell us how billing works in your organization today and where it hurts.
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2
Onboarding
We agree the scope and set up secure access to your systems and payer portals.
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3
Daily billing
Claims are coded, checked and submitted, and payments are posted and reconciled.
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4
Follow-up and reporting
Denials are appealed, open balances are followed up, and you get a clear monthly report.
Talk to our billing team
Tell us about your practice and our billing team will contact you to discuss out-of-network billing.
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Back to homeWhy DocMBS
- A dedicated team that knows your specialty and your payers
- We work inside the software you already use
- Clear monthly reporting on claims, denials and collections
- Patient data handled under a signed Business Associate Agreement
Related services
Denial Management
We find why claims are denied, fix and appeal them, and close the gaps that cause repeat denials.
Provider Credentialing and Enrollment
Credentialing and enrollment with every payer you need, so providers can start billing without delays.
Eligibility and Benefits Verification
Insurance eligibility and benefits checked before the visit, so coverage problems are found before they become denials.
Frequently asked questions
How do we get started?
Book a free consultation. We review your current billing, agree the scope with you and set up access to your systems.
Do you work with the software we already use?
Yes. We work inside the practice management or EHR system you already have.
Can you take over from our current billing company or in-house team?
Yes. We plan the transition with your team and take over open A/R, so cash flow is not interrupted during the switch.
Ready to talk about out-of-network billing?
Book a free consultation with our billing team and pick a time that suits you.