Lane 01 · Front-End RCM

Prevention is the
most profitable strategy.

Every dollar denied at the back end was a problem that could have been prevented at the front. Our front-end lane intercepts revenue risk before it becomes a claim problem.

1.9%
Front-End Denial Rate
vs 8–12% industry avg
100%
Eligibility Checked Pre-Visit
Every patient, every time
48hr
Auth Submission SLA
Urgent cases same-day
What We Do

Front-End services, in full.

Real-Time Eligibility Verification

270/271 electronic eligibility transactions processed across all major commercial payors, Medicare, and Medicaid. Verified 24–72 hours prior to every scheduled visit. We don't wait until the day of service.

Prior Authorization Management

HBOT sessions, advanced wound care, and specialty procedures require meticulous auth workflows. We manage the full submission, follow-up, and peer-to-peer review process with escalation protocols for urgent authorizations.

Benefit Analysis

Deductibles, co-pays, co-insurance, out-of-pocket maximums, and coordination of benefits — all analyzed before treatment begins. Patients understand their financial responsibility upfront.

Patient Financial Counseling

Clear, compassionate communication of out-of-pocket estimates before treatment. We help clinics build trust with patients while reducing post-service billing surprises and disputes.

Auth Workflow Timeline
1
Referral receivedIntake within 2 hours
2
Eligibility verified270/271 real-time check
3
Auth submittedWithin 48 hours of referral
4
Auth approvedP2P handled if required
Revenue protectedClean claim ready to submit

Stop paying for preventable denials.

A Revenue Performance Review shows exactly how many denials your current process generates — and the dollar value of fixing the front end.

Book a Revenue Review →