A-Z was built by the operators of Vally Medical Group, a four-location physician practice, because no vendor could answer a simple question: which claims are quietly expiring this week? Now the answer is on a dashboard every morning. We run the same system for a small number of multi-location practices.
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Vally Medical Group runs four clinics. Every denied claim there meant a real conversation about payroll. We tried billing companies and got call queues, monthly PDFs, and account managers juggling forty practices.
So we built the machine ourselves: every carrier document read and matched to its claim, every open claim on a 45 and 60-day clock, and a dashboard the owner opens on his phone that shows what cleared this week and how much of it was cash.
It worked well enough that we now run it for practices that look like ours. When you call about a denial, you reach someone who has fought the same payer over the same code for their own clinic.
Vally Medical Group: four locations, six years of claims, and two archives of carrier correspondence nobody had ever read end to end. This is what the system surfaced in its first month.
Every carrier letter, EOB and denial catalogued and matched to its claim, with each decision traceable to the source text. The first number we report is never a guess.
Claims billed and never answered, verified against the documents rather than inferred from an aging report. Each one now sits on a clock with a named person responsible for it.
Every encounter checked against a claim. No systematic unbilled care, no diverted payments, and for the first time, proof of both instead of an assumption.
Claims crossing 45 and 60 days, deadlines closing this week, and what cleared yesterday split between cash and write-off. The owner reads it on his phone before clinic opens.
Layout from the live Vally Medical Group dashboard. Cleared is balance that came down between weekly snapshots. Aged is the part from claims over 180 days old, which do not resolve on their own. Real figures are shown in a demo, not on a marketing page.
"I've hired billing companies. What I got back was a PDF once a month. What I have now is a list of the claims that expire this week, and someone whose job it is to stop that."
Dr. Zain Vally, Vally Medical GroupRecovery on the claims above is measured weekly. We publish those figures as they land rather than in advance.
Get Your Free Revenue Leak AnalysisThree ways money leaves a multi-location practice without showing up on any report.
Most vendors touch a denial once, around day 30, then let it roll into aged A/R. Payers count on that.
A claim the carrier never answered looks the same as one still processing. Nobody flags it, nobody calls, and eventually it is written off as uncollectible.
A monthly spreadsheet shows collections. It never shows the claims that were undercoded, never submitted, or never appealed. That is the number that matters and nobody reports it.
The same sequence that runs at Vally Medical Group every day.
Before we touch a claim, we index every carrier document you have, match each one to its claim, and map every denial pattern and payer behavior. You see what is broken before anything changes.
Every claim passes payer-specific modifier rules, bundling logic and NPI validation, then goes out within 24 hours of encounter sign-off.
Unanswered claims are flagged at 45 days and escalated at 60. Denials are sorted by root cause and recoverability. Nothing rolls into a write-off without a person deciding it should.
A national template does not know which of your sites is bleeding or which state's prompt-pay statute applies. We report by location, by provider, and by payer, under your state's rules.
Software can flag a denial. It cannot call a carrier rep and hold the line until the claim is reprocessed. Our US-based team does that so your staff doesn't have to.
We don't accept "pending" as an answer. Our team categorizes denials within 24 hours and launches aggressive appeals for every dollar owed.
Stop losing 5% of revenue to out-of-network patients. We manage the entire enrollment process to ensure you are paid at par.
Most practices are bleeding 15% of revenue without knowing it. We dig into your historical data to find undercoding and missed charges.
High deductibles are the new normal. We use respectful but systematic follow-up to collect patient balances before they go cold.
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We are paid a percentage of what you collect, so an unworked claim costs us too. The rate is set by monthly volume and specialty mix and put in writing before anything starts.
Send the basics and a practice management export. You get a written preliminary with the dollar figure. No call required to receive it.