Our competitive edge
What actually makes us different
Every billing company says it is accurate, fast and responsive. Here is what we will put in writing, what we publish openly, and where we deliberately do things differently from the rest of the industry.
Side by side
How we compare
Against keeping billing in house, and against the typical outsourced billing company.
| In house billing | Typical billing company | Practice Claim | |
|---|---|---|---|
| Denial rate | Whatever it happens to be | Quoted, rarely contractual | Guaranteed under 5%, in your agreement |
| Time to clean claim | Days, sometimes longer | Varies by queue | 24 to 48 hours from the encounter |
| Pricing | Salaries, benefits, software, turnover | Quoted after a sales call | 2.99% of collections, published openly |
| Your EHR | Whatever you use | Often must migrate | We work inside the one you have |
| Reporting | Manual pulls | A monthly PDF | Live dashboards, any time |
| Denials worked | The easy ones, when there is time | Varies | Every one, in the same week |
| Aged AR at handover | N/A | Often left to expire | We take it on and work it |
| Proof before signing | N/A | References | A parallel run against your current process |
The five differences
Where the difference actually comes from
A guarantee with a definition
Sub-5% denial rate, measured on claims we submit as a percentage of total claims submitted in the period, written into your agreement rather than described in a meeting.
Specialty trained billers
Modifier rules and bundling edits differ enough between specialties that a generalist loses money on your claims without making anything you could call a mistake. Your team knows your specialty.
AI for speed, people for judgment
Nine AI agents handle the repetitive checking and chasing. A certified person finalizes every code and approves every submission. You get the speed without handing judgment to software.
Open pricing
2.99% of collections and $250 a month for the platform, published on the website. No tiers that appear once you are on a call, and no charge for onboarding or the credentialing review.
Proof before commitment
A free assessment of your actual claims first, then a parallel run alongside your existing process. You compare results before anything switches over.
Being straight about it
When we are not the right fit
We would rather tell you this now than three months into a contract.
If your billing is already running well, with a low denial rate and clean aging, a billing company is an expense rather than a saving. We will tell you that after the free assessment, and we have done it before.
If you want a partner who will finalize codes without a human reviewing them because it is cheaper, we are not that company. And if you need someone physically in your office every day, an outsourced partner is the wrong shape of solution regardless of who you pick.
Good signs we can help
- Your denial rate is above 5%, or nobody can tell you what it is.
- Balances routinely age past 90 days.
- Clinical staff are spending their day on hold with payers.
- Your billing depends on one person, and you worry about them leaving.
- Collections feel lower than the work you are doing, and you cannot say why.
What you can hold us to
Numbers we put in writing
Sub-5%Claim denial rate, guaranteed in your agreement
24 to 48Hours from encounter to clean claim submission
2.99%Of collections for full revenue cycle management
Real timeFinancial dashboards, not a monthly PDF
Ready to see what you are leaving uncollected?
Book a free consultation. We will review a sample of your claims and show you where the revenue is going.