End-to-end revenue cycle management, run like a finance team
From the moment a patient books to the day the balance reaches zero, ClaimEdgeSolutions manages every step of your revenue cycle. One accountable team covers eligibility, coding, claims, payments, denials, A/R and patient billing, with reporting you can actually read.
Common problems we fix
If any of these are happening in your practice, revenue is slipping away every week.
- Revenue leaking at hand-offs between front desk, billing and collections
- No single view of days in A/R, denial rate or net collections
- Aging claims nobody owns past 90 days
- Payer rule changes that break workflows overnight
How ClaimEdgeSolutions handles revenue cycle management
Front-end accuracy
Registration, demographics and eligibility are verified before the visit to stop downstream denials.
Mid-cycle integrity
Charge capture, coding and claim scrubbing keep every claim clean and compliant.
Back-end recovery
Payment posting, denial work, appeals and A/R follow-up on every open dollar.
Patient financial experience
Clear statements, payment plans and friendly patient support.
Contract & underpayment review
Payments are checked against your fee schedules and payer contracts.
Monthly performance review
A KPI dashboard and a call with your account manager every month.
Specialists who own your revenue cycle management
You get named people who learn your providers, payers and workflows, not a rotating queue. Every open item has an owner and a deadline.
- Front-end accuracy
- Mid-cycle integrity
- Back-end recovery
The metrics we report on
Your monthly report tracks these numbers for this service, alongside your overall revenue cycle KPIs.
Average time to get paid
Collected vs. collectible
Claims denied on first pass
From audit to results in four steps
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
Often paired with Revenue Cycle Management
Medical Billing & Coding
Certified coders and billers who turn every encounter into a clean, compliant claim.
Explore service
Credentialing & Enrollment
Get providers enrolled with payers faster, and keep them active.
Explore service
Denial Management
Work every denial, win the appeal, and fix the root cause.
Explore serviceAvailable for every specialty, including
Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01What does full RCM include?
Eligibility and benefits, prior authorizations, charge entry, coding, claim submission, payment posting, denial management, A/R follow-up, patient billing and monthly reporting.
02How is pricing structured?
Most practices choose a percentage of collections, so we only earn when you get paid. Flat-fee options are available for specific services. Request a quote for exact pricing.
03How long does onboarding take?
Most practices are fully live in 2–4 weeks, depending on system access and payer enrollment status.
04Can we start with one service first?
Yes. Many clients start with A/R recovery or denial management and expand to full RCM.
05Do you sign a Business Associate Agreement?
Yes. A BAA is signed with every client before we access any protected health information.
See where your revenue is leaking
Get a free, no-obligation revenue audit. We review your A/R, denials and coding patterns and show you exactly what is recoverable.