Denials with no owner
A reason code comes back on the remittance and sits there. The claim ages past the filing limit while the front desk rooms the next patient.
For independent practices with 1–5 providers
Medical billing for independent practices
Clean claims · Fewer denials · Faster payments
MedFlow bills insurance for independent primary care, urgent care, and mental health practices, including offices in smaller towns that do not have a billing department. About 5% of insurance collections. The rate is confirmed after a free health check.
Health check uses totals only. No patient information needed.
Electronic claims through a national clearinghouseCurrent ICD-10-CM and CMS edit filesBAA signed before any patient dataPay a share of what we collect
Where small practices lose money
Revenue leaks quietly when nobody owns the claims
Payments that take too long
Days in accounts receivable climb because nobody is working the claims that stopped moving. The deposit looks fine until you notice what never arrived.
No time to bill
The office manager is the biller, the scheduler and the person on the phone. Billing happens after hours, which means it does not happen.
Medical billing services
The whole revenue cycle, from eligibility to the final payment
Each card shows a MedFlow screen preview with sample data.
- Eligibility checksReal-time insurance verification before each visit, with copay, coinsurance and deductible remaining.
- Prior authorizationsProcedures that need payer approval are flagged at booking and tracked until approved.
- Medical codingICD-10-CM and CPT coding checked against CMS unit and code-pair edits. A coder approves every claim.
- Claim scrubbing & submissionEvery claim is checked for errors, then sent electronically and tracked to acceptance.
- Denials & appealsDenials are worked by appeal deadline: corrected claims, appeal letters and follow-up until resolved.
- A/R follow-upOpen balances are worked while the claim can still be paid, not after the filing window closes.
- Patient statements & online payClear statements for the balance left after insurance, plus a secure way for patients to pay.
- Reports & KPIsDenial rate, clean claim rate, A/R aging and payer performance, available any time in your workspace.
How it works
Start with the numbers, not a contract
- 1
Billing health check
You share monthly totals only. No patient names. We compare denial rate, collections and days in A/R with MedFlow targets.
- 2
Agreement and BAA
A service agreement states the rate. A business associate agreement is signed before we handle any patient information.
- 3
Onboarding
Schedule, notes, fee schedule and payer enrollments. We do not ask you to replace your electronic health record.
- 4
Monthly reports
Charges, insurance collections, denial rate, days in A/R, and the short list of items only the clinic can answer.
Your MedFlow workspace
See every claim, denial and dollar
We bill on our own software, so you never wait for a month-end report. Log in to see where each claim stands and what is being done about it.
Security built into every login
2-step verification
Required for every user, with automatic sign-out after 15 minutes idle.
Complete audit log
Every change is recorded with who made it and when, and can be exported any time.
Role-based access
Each person sees only what their job needs, clinic by clinic.
Who we work with
Built for small practices that bill insurance
primary care billing services
Family medicine and internal medicine are mostly office visits, a short list of procedures, and a long relationship with the same patients. The billing has to keep up with that without a billing department in the back.
urgent care billing services
Urgent care is volume. A clinic can see more patients in a weekend than a primary care office sees in a week. Billing has to keep the same pace, or the accounts receivable is already old on Monday.
mental health billing services
A behavioral health practice bills time, diagnosis, and often an authorization for the next block of sessions. The note has to support the code, and the claim has to carry the approval number.
Pricing
~5%of insurance collections
Final rate is confirmed after the free billing health check. Our fee comes from what we collect, so we only do well when you get paid.
- No long contract
- Percentage of insurance collections, not a fee on charges
FAQ
Questions practices ask us
- Which practices do you bill for?
- Independent practices with one to five providers: primary care, family medicine, internal medicine, urgent care, and mental or behavioral health. We focus on practices in smaller towns and rural areas that do not have a billing department.
- What does the service cost?
- About 5% of insurance collections. The rate is confirmed after a free billing health check. There is no long contract. Patient payments are not part of the percentage.
- What is the free billing health check?
- You share practice totals: monthly claims, charges, collections, denial rate and days in accounts receivable. We compare them with MedFlow targets and tell you where money is likely stuck. Do not send patient names or any patient information.
- When do you see patient information?
- Only after a service agreement and a business associate agreement are signed. The website forms are not that agreement. They ask for your name, the practice, and totals.
- Do we have to change electronic health records?
- No. We work from the schedule, the note, and the claim. The MedFlow software is what our team uses to code, submit, post payments and follow denials. Your chart stays where it is.
Free billing health check
Find out where your claims are getting stuck
Tell us a little about your practice. We will reply with a short list of the totals we need and a time to walk through the results.
Please do not include patient names or other patient details.
Or open the full calculatorWe reply within one business day. No obligation.
See what your billing is leaving behind
Share monthly totals. We will tell you where the gaps are. No patient information.