Built inside a four-location practice

Most Billers Report What They Collected.
We Show What You're About to Lose.

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.

4.9% of net collections, starting rate
No long-term contract. No setup fees.
42,020
Carrier documents indexed
$3.9M+
Collected, 2025 (4 locations)
12:1
Client-to-staff ratio
100%
US-based team
Vally Medical Group figures, measured through September 2026.
Free · 10 seconds
How much are you leaking?
Slide to your monthly collections. We'll estimate the annual leak.
Monthly collections $80,000
Estimated annual leak
$38,000 – $86,000
in denials, write-offs, and unworked AR
CollectedThe leak
Estimate uses industry benchmarks of 4–9% of net collections. Your free analysis replaces it with your real numbers.
Free · No commitment
Let's find the real number.
A 48-hour preliminary from your practice management export: denial patterns, silence rate by payer, specialty benchmark, and the dollar figure. No call required to receive it.
Your estimated leak $38,000 – $86,000 / yr
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Dr. Zain Vally, founder of A-Z Medical Billing, at a Vally Medical Group clinic
👨‍⚕️
Founded by a practice owner, not private equity.
The A-Z Difference

We're Operators,
Not Vendors.

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.

✓ 12:1 client-to-staff ratio (industry average is 40:1)
✓ 100% US-based certified coders
✓ Direct cell phone access to the people who built the system
Measured at Vally Medical Group

What a Four-Location Practice
Could See After 30 Days.

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.

🔬

42,020 documents read

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.

📊

$1.1M found with no carrier response

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.

🛡

Six years reconciled

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.

🎯

A digest every morning

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.

What moved this weekIllustrative figures
Outstanding now$2,140,3004,812 open claims
Cleared this week$118,400$91,200 of it cash
Crossing 60 days by Friday$84,70061 claims, still preventable
Wk 1
−$61,900
Wk 2
+$52,300
Wk 3
−$18,100
newly billedclearedof that, aged over 180 days

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 Group

Recovery on the claims above is measured weekly. We publish those figures as they land rather than in advance.

Get Your Free Revenue Leak Analysis
The Problem Deep-Dive

Where Your Revenue Actually Disappears.

Three ways money leaves a multi-location practice without showing up on any report.

⚠️

Denials Age Out

Most vendors touch a denial once, around day 30, then let it roll into aged A/R. Payers count on that.

Stat: Recovery odds drop by roughly half after 90 days.
⏳

Silence Gets Treated as Pending

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.

Stat: $1.1M of it found at one four-location practice.
📉

Reports Show What Was Billed, Not What Was Lost

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.

Stat: 42,020 documents read before we reported a single number.
How It Runs

Three Layers Between Your Encounter and Your Deposit.

The same sequence that runs at Vally Medical Group every day.

01
01. Read Read Everything First

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.

02
02. Submit 24-Hour Velocity

Every claim passes payer-specific modifier rules, bundling logic and NPI validation, then goes out within 24 hours of encounter sign-off.

03
03. Clock Every Open Claim on a Clock

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.

Built for Groups

Multi-Location Billing Has Different Problems.

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.

  • Multiple tax IDs, NPIs and locations under one reporting view
  • Location-level denial and A/R breakdowns
  • Transition with parallel processing so cash flow never dips
Real-time RCM financial dashboard showing medical practice revenue analytics
The Human Firewall

Software Finds the Error. Humans Win the Argument.

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.

  • Certified Professional Coders (CPC) on staff
  • Phone appeals on every claim over $500
  • One named contact with a cell phone, not a ticket queue
Dedicated medical billing specialist managing insurance denial appeals on the phone
01
🛡️

Denial Management

We don't accept "pending" as an answer. Our team categorizes denials within 24 hours and launches aggressive appeals for every dollar owed.

  • ✓ Root-cause analysis by payer
  • ✓ Phone appeals for claims over $500
  • ✓ Recovery of "aged" AR (60+ days)
02
📝

Provider Credentialing

Stop losing 5% of revenue to out-of-network patients. We manage the entire enrollment process to ensure you are paid at par.

  • ✓ Payer contract negotiation
  • ✓ CAQH profile maintenance
  • ✓ Medicare/Medicaid revalidation
03
📊

Forensic RCM Audits

Most practices are bleeding 15% of revenue without knowing it. We dig into your historical data to find undercoding and missed charges.

  • ✓ Fee schedule analysis
  • ✓ Coding compliance review
  • ✓ Missed revenue identification
04
💳

Patient Collections

High deductibles are the new normal. We use respectful but systematic follow-up to collect patient balances before they go cold.

  • ✓ Automated statement cycles
  • ✓ Online payment portal setup
  • ✓ Inbound patient billing support

Free Medical Billing Tools

Professional-grade calculators and resources to help you recover lost revenue

💰

Revenue Recovery Simulator

Discover exactly where your practice is losing money. Get a personalized analysis in 3 minutes.

Run Simulation →
🏥

Medicare Fee Schedule 2026

Instant CPT code lookup with 2026 Medicare rates. Compare facility vs non-facility fees for all 50 states.

Lookup Rates →
🔍

Denial Code Lookup

Instant reference for 50+ denial codes. Find causes, solutions, and step-by-step fixes.

Search Codes →

Practice Intelligence

Latest strategies for maximizing revenue velocity and reducing administrative drag.

Top 10 Denial Codes in 2026

The 10 denial codes costing practices $40K+ per year. Each code explained with root causes, step-by-step fixes, and prevention tips.

Read Analysis →

Why Clean Claim Rate Is the #1 Metric

Industry average is 75%. Top practices hit 96%. Here's how to measure yours and what to fix if it's below 90%.

Read Analysis →

In-House vs Outsourced Billing: Real Cost

Most practices underestimate in-house billing costs by 40-60%. Side-by-side breakdown with actual numbers and the break-even calculation.

Read Analysis →
Pricing

One Number. Confirmed in Writing Before We Start.

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.

✓ No Setup Fees
✓ No Software Licensing Costs
✓ No Long-Term Contract
✓ No "Postage/Statement" Fees
4.9%
Starting rate · of Net Collections
Includes claims, appeals, patient statements and calls, credentialing maintenance,
and dashboard access for every location.
Rate depends on monthly volume and specialty mix. Thirty days' notice either way.

Find Your Actual Leak. Free, in 48 Hours.

Send the basics and a practice management export. You get a written preliminary with the dollar figure. No call required to receive it.