Billing

Comprehensive Medical Billing and Practice Management Solutions

Medical Billing Process

Claims Submission

  • Submit electronic claims within 24 hours of receipt. Most uncontested claims are paid within 30 days or sooner.
  • Process paper claims for payers without electronic submission capability.
  • Provide monthly reports that include charges, net revenue, and pending accounts receivable (AR) aged at 30+, 60+, 90+, and 120+ days.
  • Establish and monitor strategies to improve revenue collection.

Patient Statements

Mail monthly statements for accounts with deductibles or patient-responsibility balances.

Patient Statements

Review each EOB, post payments accurately, and issue monthly reports summarizing all transactions.

Follow-up and Appeals

  • Pursue unpaid insurance claims, denials, and patient balances.
  • Correct and resubmit any unpaid claims or denials.
  • Process appeals to insurance carriers.
  • Perform soft collections via phone calls and mailed letters.

Medical Practice Billing Analysis

Dynamic Medical Practice Impact Analysis

  • Provide detailed insights into the business side of your medical practice.
  • Offer productivity metrics, revenue expectations, and procedural efficiencies to maximize reimbursement.

Reimbursement Review and Analysis

  • Assess current coding and billing processes to identify revenue opportunities.
  • Recommend methods for coding and revenue audits.
  • Evaluate denial rates and propose solutions to reduce them.
  • Optimize clean claims submission.

Payer Analysis

  • Analyze payer mix and profitability.
  • Compare reimbursements across payers and services.
  • Offer recommendations for service offerings, patient mix, and contract negotiations.
  • Assess the impact of new payer contracts on revenue.

Additional Services

Denial Management

  • Review denial EOBs to identify errors and missed revenue opportunities.
  • Track denial patterns and payer payment variances.
  • Provide denial reports and prevention recommendations.

Provider Credentialing

  • Manage credentialing and maintenance for new and established providers.
  • Handle hospital privileges, government plan enrollment, third-party payer enrollment, CAQH updates, and license renewals.

Comprehensive Monthly Reporting

  • Provide snapshot reports on collections, AR, and denials.
  • Deliver detailed denial reports and actionable feedback to improve office processes.

Training and Education

  • Train physician staff on eligibility screening and registration to ensure maximum payment probability.
  • Educate providers on proper coding to optimize revenue.

Consulting

  • Review and negotiate contracts.
  • Identify community and state programs for additional funding opportunities.
  • Assist in recruiting and hiring medical billing or front office staff.

Questions? Contact us!

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Our Mission

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Contact Info

  • Codicent
  • 5672 Apricot St
  • Banning, CA 92220
  • United States
  • +1 (626) 222-1416
  • © 2026 Codicent. All rights reserved. Healthcare IT Solutions & Consulting Services.