Claims Management

Every claim.
Every dollar. Captured.

End-to-end claims lifecycle management from charge capture through adjudication. We don't just submit claims — we ensure every dollar you've earned gets collected.

What's included

Claims management — full scope, no add-ons

Every engagement includes the complete scope below. No hidden tiers, no extra fees.

Charge Capture & Entry
Accurate charge capture from your EHR/superbill with same-day entry. No charges slip through the cracks, no revenue left on the table.
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Pre-Submission Claim Scrubbing
Every claim passes through 500+ validation rules before submission. We catch errors that cause denials before they ever reach the payer.
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24-Hour Electronic Submission
Claims submitted electronically within 24 hours of service to all commercial, Medicare, and Medicaid payers — including secondary billing.
Real-Time Eligibility Verification
We verify patient eligibility and benefits before every visit — catching coverage issues before they become billing problems.
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Denial Prevention
Proactive denial prevention through root cause analysis, payer rule monitoring, and ongoing staff education on common triggers.
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ERA & Payment Posting
Automated ERAs with manual review for underpayments and contractual adjustments. Accurate posting with variance reporting.

Stop leaving claims revenue behind.

Our free revenue audit shows exactly where your current billing process is leaking money — and how much Rcmaxis would recover. Results in 5 business days, no obligation.