Clean claims are sent the moment they're ready.
Let the clean claims send themselves. Sarah runs one last check on every finished claim and submits everything that clears to the clearinghouse, the moment it is ready. Anything held comes back with the specific reason attached, which is the fastest route to the fix.
Five stages, in the order they run
One check, run the moment a claim is ready
Nothing sits in a batch waiting for someone to work through it, and nothing sits held without a reason attached to it.
Sarahclaim checks and submission- 01
Run the pre-flight
Before anything goes, Sarah confirms the report is finished, the charges carry their codes, the responsible party is set and is one you send automatically, coverage has verified inside 45 days, the patient details are present, and the ordering clinician is billable.
- 02
Submit everything that clears
It goes to the clearinghouse as soon as it is ready, including the moment another agent clears whatever was holding it. No finished claim waits overnight for a person to release it, and nothing is ever submitted twice.
- 03
Explain everything that stops
A claim that fails a check is held with its own specific reason on the worklist. Your biller reads the reason and makes the correction, instead of working out weeks later why something came back.
Checked, then sent
Sarah does not decide what is billable, she confirms it. Each check either passes or the claim is held with the reason written down, and everything that clears goes to the clearinghouse the moment it is ready.
- Accurate before deciding
Sarah works at the accuracy of an experienced biller, measured head to head on the same claims, and never guesses to get there. Anything Sarah cannot stand behind goes to your team with the finding already attached.
- Your billers keep the judgment
What comes to your team arrives with the finding attached, so your biller decides instead of investigating. Most of the day never needs a second look, and what does is the work that needed a person.
- Everything on the record
Every decision an agent makes is written down, so you can see what happened and why. Nothing an agent does is a black box you have to take on trust.
- Nothing is sent until the report is complete and the claim carries its charges and codes
- No claim goes out on coverage that has not verified in the last 45 days
- A claim already submitted is never sent a second time
- Every claim held back carries its specific reason, in writing, on the worklist
Finished work goes out the day it is finished
Claims leave the moment they are ready, with nobody pressing send. The only ones your billers touch are the ones that genuinely needed a person, and each arrives already explaining itself.
- of claims go out untouched
- 94%
- of claims accepted the first time
- 98.6%
Every stage hands finished work to the next.
Each stage is run end to end by its own agent, and each hands finished work to the next.
AbbyCensus and Medicare Part A or B
EllieCoverage and benefit checks
CodyCoding and charge capture
PosiePayment postingWe get the claim right before it bills, and post the payment when it arrives. Denials, appeals, payer phone calls and outstanding balances stay with your team.
What buyers ask about Sarah.
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The report is finished, the charges carry their codes, the responsible party is set and is one you send automatically, coverage has verified inside 45 days, the patient details are present, and the ordering clinician is billable. Everything that clears is submitted.
The specific reason, in writing, on the worklist. Your biller reads it and corrects the claim rather than investigating, and the claim goes the moment the fix clears it.
The moment it is ready, including the moment another agent clears whatever was holding it. Nothing waits overnight for a person to release a batch.
No. A claim that has already been submitted is never sent a second time. That holds even when a claim is re-opened, corrected, or cleared by another agent after the fact.
No, she confirms it. Every check either passes or the claim is held with the reason written down. There is no judgment call in the middle for her to get wrong, and nothing goes out on a check that did not pass.
See the pre-flight run.
Thirty minutes with the team who built it. Watch Sarah clear a finished claim, submit it unattended, and hold one back with the reason already attached.