Get Paid. Add Providers. Grow With Confidence.

For a licensed provider opening a first practice, including while employed or working through Headway, Alma, Grow or Rula.

• Five commercial payers, each followed through to a written decision. Approved payers are checked for system loading and directory accuracy.
• Help choosing an EHR around your goals and budget, then setup or tailored guidance in the system you own.
• Visit types and scheduling built around your preferences, with CPT codes, modifiers and place of service tested from appointment through claim.
• Insurance billed charges and self pay fees set up with you. Contracted payer rates loaded where supported, or supplied for you to load.
• Guidance on business records, payer portals, electronic payment and remittance enrollment, plus tools to verify patient benefits.
• Patient payment and portal setup, or guidance if you prefer, with accurate financial reporting and help running it yourself.

For one clinician in your own name, your group under its own Tax ID, or a provider joining contracts your clinic already holds.

Not open yet, or still employed and starting your own practice? First Practice Launch sets up your payers, EHR, scheduling and medical billing together.

Leaving Rula, Headway, Grow or Alma? See what happens to your contracts and clients.

• Applications prepared for your situation: your own individual contracts, new practice contracts, or a provider joining contracts your clinic already holds.
• DataSpring/CAQH reviewed with you, with missing or conflicting information flagged before submission.
• Payer requests answered and follow up at least every 10 business days until a written decision.
• For approved payers, effective dates and provider loading confirmed, with directory listings and portal access completed.
• Electronic funds transfer (EFT) and electronic remittance advice (ERA) set up, or step by step guidance if you prefer.
• Copies of submitted applications and a closeout package with a recredentialing calendar.

We check coding and modifiers, correct rejections, work denials and appeals, and follow unpaid claims through to the payer’s response. Commercial, Medicare and Medicaid claims are included within your scope.

• Every claim reviewed for coding and modifiers before submission, with rejections corrected and resubmitted.
• Denials investigated, corrected or appealed. When a contract loading issue affects several claims, we work the cause with the payer.
• Payer and patient payments and adjustments posted, with balances reconciled.
• Payments checked against your contracted fee schedules so underpayments can be caught and corrected.
• Unpaid claims followed up with each payer, plus a written report each month.