Billing & Revenue Cycle Management for Healthcare

Recurring payment plans, copay collection at check-in, statement automation, real-time insurance eligibility, and A/R recovery — the RCM back office your practice needs to recognize every dollar earned.

What back-office RCM does a practice actually need?

At minimum: real-time eligibility verification before service, copay collection at check-in, statement automation after insurance posts, and a payment-plan engine for balances above $300. Stitching these from separate vendors creates reconciliation gaps; bundle them on the same processor that handles your card and ACH rails.

Why does eligibility verification matter?

Real-time eligibility catches expired or out-of-network coverage before the patient sits down — preventing the 15–22% denial rate that drives most A/R aging. One denied claim cancels the margin on three paid ones.

How does copay collection at check-in change the books?

Practices that auto-prompt copay at check-in collect 92–97% of patient copay; practices that bill it later collect 55–70%. The difference on a 100-encounter day at $35 average copay is roughly $1,000 of recovered patient revenue per day.

When do I need A/R recovery?

Once patient A/R aging crosses 60 days, recovery curves drop fast — 50%+ of 60-day balances and 75%+ of 90-day balances are lost without active recovery. A/R recovery automates the SMS, email, and offer cadence to recover the curve.