Every missed charge, rejected claim, and aging A/R balance erodes the financial health of your practice. Verimedix provides full-cycle medical billing services — from charge capture through payment posting — so your team can focus entirely on patient care. We work directly inside your existing EHR, maintain a 98% clean-claim target, and give you real-time visibility into every dollar owed.
Medical billing is far more than submitting claims. It requires precise CPT and ICD-10 coding, accurate patient demographics, real-time eligibility checks, payer-specific billing rules, timely follow-up on unpaid claims, and expert-level appeals when payers deny. Most in-house billing teams are stretched thin, leading to uncoded charges, missed filing deadlines, and A/R that ages beyond 90 days — revenue that often becomes unrecoverable.
Verimedix's certified billing team manages the entire revenue cycle on your behalf. We submit electronically through certified clearinghouses, monitor every claim from submission through ERA/EOB reconciliation, and proactively work open balances before they stall. Our payer-aware approach means we understand the specific billing requirements of Medicare, Medicaid, and hundreds of commercial payers — and we code and bill accordingly from day one.
Whether you operate a solo primary care practice, a multi-provider specialty group, or an ancillary service facility, Verimedix tailors its medical billing workflow to your specialty, your payer mix, and your EHR platform. No long-term contracts, no hidden fees — just transparent, results-driven billing partnership.
We post all charges from encounter notes, superbills, or direct EHR integration, assigning accurate CPT, HCPCS, and ICD-10 codes with correct modifiers to reflect the true level of service rendered.
Claims are scrubbed against payer-specific edits before transmission, achieving a 98% first-pass clean-claim target and reducing costly rework delays.
We verify patient insurance benefits and coverage limits prior to each billing cycle, catching inactive coverage and coordination-of-benefits issues before a claim is ever filed.
ERA and EOB payments are posted accurately and reconciled against expected contractual allowances, with any underpayments flagged for immediate follow-up with the payer.
Every denied or rejected claim is categorized by root cause, corrected or appealed within payer timelines, and tracked through resolution to protect your A/R.
You receive monthly financial dashboards covering collection rates, denial rates, A/R aging buckets, and clean-claim percentages — giving you actionable insight into practice performance.
Outsourcing your medical billing to Verimedix removes the single largest administrative burden facing most practices today. In-house billing departments must keep pace with frequent CPT code updates, shifting payer policies, modifier rule changes, and evolving ICD-10 guidelines — a full-time job in itself. Our team dedicates itself entirely to staying current so your billers do not have to.
Financially, the impact is measurable. Practices that transition to Verimedix typically see accelerated cash flow within the first 60 days as stale A/R is worked, clean-claim rates improve, and underpayments are identified. Because we operate on a percentage-of-collections model, our financial interests are directly aligned with yours — we only succeed when you collect.
Beyond collections, our transparent reporting gives practice owners and administrators a clear picture of billing performance without having to interrogate their own staff. You will know exactly which payers are underpaying, where denials cluster, and how your collection rate compares to national benchmarks for your specialty — intelligence that drives smarter contracting decisions and better patient financial communication.
We connect securely to your existing EHR or practice management system — SimplePractice, Athenahealth, Kareo, AdvancedMD, DrChrono, Open Dental, or others — and establish your payer fee schedules, billing rules, and clearinghouse connections within the first week.
Each business day our team pulls new encounter data, codes and audits charges, applies appropriate modifiers, and runs claims through payer-specific scrubbing edits before electronic submission.
Open claims are worked on an aging schedule, with personal follow-up calls and portal inquiries to payers for claims approaching 30, 60, and 90-day thresholds, keeping your A/R under 30 days as a standing target.
Monthly performance reviews identify coding patterns, payer-specific denial trends, and fee schedule discrepancies so we continuously refine your billing process and protect future revenue.
Verimedix connects directly to your existing EHR or practice management platform — including SimplePractice, Athenahealth, Kareo, AdvancedMD, DrChrono, and Open Dental — using secure API access or HIPAA-compliant data exchange. We map your charge capture workflow to our billing process without requiring you to change software or retrain staff. Most practices are fully onboarded within five to seven business days.
A clean claim is a fully complete, accurately coded electronic claim that meets all payer-specific requirements and passes clearinghouse edits on the first submission. Clean claims are processed faster — typically within 14 to 21 days — while rejected or incomplete claims can delay payment by 45 to 90 days or more. Verimedix maintains a 98% clean-claim target, which is the single most direct driver of faster cash flow in any practice.
Yes. Our team is experienced with Medicare fee-for-service (Part B), Medicare Advantage plans, Medicaid programs, and hundreds of commercial payers including Aetna, Cigna, UnitedHealthcare, BlueCross BlueShield, and regional plans. We maintain payer-specific billing requirement databases and update them as payers issue new claim editing rules, coverage policies, and modifier guidelines.
Verimedix operates on a transparent percentage-of-collections model. Our fee is a percentage of actual payments received, meaning you pay nothing on claims that are not collected. There are no setup fees, no long-term contracts, and no charges for denial management or appeals — those services are included. Exact rates vary by specialty and monthly charge volume; contact us for a customized quote.
Most practices see measurable improvement within 30 to 60 days of onboarding. In the first phase we focus on clearing stale A/R, correcting recurring coding errors, and establishing clean-claim workflows. By the second billing cycle, clean-claim rates typically rise and payment turnaround shortens. A formal performance report at 90 days benchmarks your collection rate against pre-Verimedix baselines.
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