Practical starting point

What to include when you reach out

A useful first message does not need to be polished. Tell us what is creating pressure right now: unpaid claims, credentialing delays, payer enrollment, EHR workflow friction, denials, or general operations cleanup. If you know the systems you use, the payers causing delays, or the roles involved, include that too. It helps us point the conversation toward the right next step instead of giving you a generic sales call. Most conversations start with a practical review of where the work is getting stuck: claims that have not moved, providers waiting on enrollment, reports that do not match what staff are seeing, or handoffs that depend too much on one person remembering every detail. From there, the next step may be billing support, credentialing cleanup, revenue-cycle review, EHR workflow cleanup, or a focused operations audit.

Request Review

Tell us what needs attention in the practice.

Share the billing slowdown, payer enrollment issue, claims aging pattern, documentation timing problem, EHR setup gap, or operating handoff that needs a clearer next step.

Email Instead

What happens after you submit.

A first contact form doesn't lock anyone into anything. The next few steps are designed to figure out whether we are actually the right fit for the work you have in front of you.

The next four steps

1
TodayYou get a same-day acknowledgement that the form landed and a real reply is coming, not an autoresponder loop.
2
One business dayA short reply with two or three available calendar slots, scoped to the issue you described. If it is something we do not work on, we say so the same day.
3
20-minute first callAn operator on the line, not a sales rep. Camera optional. We listen for where the practice is actually losing time, money, or reporting visibility.
4
Within one weekA written scope with the work we recommend, the order to do it in, the team we would put on it, and a flat or staged fee. If the scope is small enough to handle without us, we tell you that too.

What the first call covers

  • Where the practice is in its lifecycle right now — opening, growing, repairing, or transitioning ownership.
  • The two or three operational symptoms that pushed you to look for help this month.
  • What is already in place — the EHR, the clearinghouse, the billing setup, the reporting cadence — and what the team trusts.
  • What payers are involved, the commercial-vs-government mix, and where the panels currently stand.
  • The internal team — who is owning billing today, who is owning credentialing, who owns the schedule.
  • What good looks like for you in 90 days, not just an open-ended fix.

What we don't take on.

  • Solo practitioners. Most of our pricing and process is built for 2-provider groups and up. A solo practice is usually better served by direct-billing software plus part-time admin help, and we will say so.
  • Per-claim percentage billing as the primary engagement model. Flat fees and staged scopes keep our incentives aligned with reducing claim volume, not running it up.
  • Exclusivity contracts or multi-year lock-ins. The work should keep earning its place quarter by quarter.
  • Practices outside behavioral health, primary care, and outpatient specialty. Hospital cycle and inpatient revenue cycles are a different problem set and need a different team.
  • One-off claim resubmission projects without operational context. Cleaning up symptoms without fixing the upstream workflow tends to bring the same problems back in 60 days.
Currently supporting practices nationwide, with deeper concentration in the Pacific Northwest and a working operator presence in Oregon, Washington, California, and Texas. Time zone for first calls is Pacific.