Efficient claim submission and billing management that accelerates payments.
Our comprehensive claims and billing services ensure timely, accurate submission of all claim types to maximize your revenue cycle efficiency.
We handle electronic and paper claims for Medicare, Medicaid, commercial insurance, workers compensation, and liability cases with precision and compliance.
With our proactive approach to claim management, you can reduce days in accounts receivable and accelerate your cash flow.
We combine advanced claim scrubbing technology with expert human review to ensure maximum clean claim rates and minimal rejections.
Every claim undergoes automated validation and human review before submission to ensure compliance and accuracy.
WHAT'S INCLUDED
Every aspect of claim submission and billing covered for maximum efficiency.
Electronic claim submission to all major payers
Paper claim processing for workers compensation
Real-time eligibility verification
Claim status monitoring and follow-up
Payer portal management
Remittance advice processing
Secondary claim submission
Coordination of benefits processing
Workers compensation billing
Medicare and Medicaid claims
Commercial insurance claims
Liability and no-fault billing
OUR PROCESS
Eight-step process ensuring timely submission and optimal reimbursement.
PERFORMANCE METRICS
Measurable results that drive your revenue cycle success.
>95%
Clean Claim Rate
>85%
First Pass Resolution
<48 hours
Submission Timeliness
100%
Payer Contract Compliance
CHALLENGES WE SOLVE
We handle the complexities so you don't have to.
Complex payer contract requirements
Frequent claim rejection patterns
Payer-specific submission formats
Timely filing deadlines
Coordination of benefits complexity
Workers compensation regulations
Medicare and Medicaid billing rules
FAQ
Answers to common questions about our claims and billing services.
We submit clean claims within 48 hours of receipt. Urgent cases can be expedited for same-day submission when clinically necessary.
We partner with leading clearinghouses including Change Healthcare, Availity, and NaviHealth to ensure broad payer connectivity and optimal claim routing.
Our denial management team identifies denial patterns, responds within 72 hours, and implements preventive measures to reduce future denials. We track denial reasons and work with providers to address root causes.
We provide real-time claim status updates through our provider portal, plus weekly denial reports, monthly submission summaries, and quarterly performance analytics.
We maintain detailed profiles for each payer with specific requirements, fee schedules, and submission guidelines. Our compliance team regularly audits our processes to ensure adherence.
Schedule a free consultation to see how Aethera can reduce your denials and speed up payments.
RELATED SERVICES
Additional services that complement our claims and billing expertise.