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Revenue cycle support sized to your organization
From a single therapist to a multi-location surgical group, ClaimEdgeSolutions adapts its team, reporting and workflows to the way you operate.
1–10 providersSolo & small practices
You need a full billing department without the payroll. We become that department, with an account manager who knows your practice by name.
- Full RCM or à-la-carte services
- Front-desk eligibility support
- Simple monthly reporting
10+ providers, multiple locationsLarge & multi-specialty groups
One consolidated view across specialties and locations, with specialty-trained coders for each department.
- Location and provider-level KPIs
- Specialty coding pods
- Payer contract and underpayment review
Therapy, psychiatry, counselingBehavioral health organizations
Time-based codes, carve-outs and authorizations handled by people who bill behavioral health every day.
- Credentialing for LCSW, LPC, LMFT, PsyD
- Session authorization tracking
- Telehealth billing
Single and multi-specialty ASCsAmbulatory surgery centers
Facility billing, implants and case-rate contracts billed correctly and followed up quickly.
- Facility and professional claims
- Implant and device billing
- Case costing and contract review
Opening or adding providersNew practices & start-ups
Credentialing and enrollment started early so your providers can bill from the first day.
- NPI, CAQH, PECOS and payer enrollment
- Fee schedule setup
- Billing workflow design
WC, PI and no-fault autoWorkers' comp & injury providers
State fee schedules, adjuster follow-up, liens and litigation support in one place.
- State-compliant forms and reports
- Lien filing and tracking
- Attorney coordination
Overflow and backlog projectsHospitals & health systems
Extra capacity for coding backlogs, aged A/R and denial projects without adding headcount.
- Coding backlog projects
- Aged A/R recovery
- Denial root-cause programs
Family, internal medicine, geriatricsPrimary care & chronic care
Preventive, wellness and care management programs billed to their full value.
- AWV and preventive services
- CCM, RPM, TCM programs
- HCC risk adjustment review

Find the right setup for your practice
Tell us about your organization and we will recommend the services and team structure that fit.