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We exist so providers get paid for the care they deliver
ClaimEdge RCM Solutions LLC is a U.S. medical billing and revenue cycle management company. We combine certified coders, experienced billers and disciplined processes so healthcare practices can stop chasing payments and focus on patients.
Our mission is to make every practice’s revenue cycle accurate, predictable and transparent.
Our vision is a healthcare system where providers spend their time on patients, not on payer portals, denial letters and aging reports. We get there one clean claim at a time.
How we work, every day
Accuracy first
A claim done right once is worth more than three fast resubmissions. We code and bill to the documentation, every time.
Radical transparency
You see the same numbers we see. Monthly KPIs, open A/R and denial trends are always available to you.
Ownership
Every open claim has an owner on our team. Nothing sits in a queue without someone accountable for it.
Compliance by default
HIPAA, payer contracts and coding guidelines shape our workflows. We don't cut corners to move a metric.
Provider time matters
Our job is to remove administrative work from your providers and staff, not add to it.
Long-term partnership
We measure success by how long practices stay with us, so we earn the relationship every month.
A dedicated pod for every client
You don’t get a ticket queue. You get named people who know your practice, your payers and your goals.
Account manager
Your single point of contact. Runs your monthly review and coordinates the team.
Certified coders
Specialty-trained coders who review documentation and assign codes.
A/R & denial specialists
Work payer follow-up, appeals and underpayments every day.
Credentialing specialist
Keeps providers enrolled, CAQH current and re-credentialing on time.
Patient billing team
Handles statements, payment plans and patient billing questions.
Compliance oversight
Audits coding and enforces HIPAA safeguards across your account.
From audit to results
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.
Let’s talk about your revenue cycle
Book a free audit and meet the team that would manage your account.