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Answers

Questions providers
actually ask us.

Straight answers on outsourcing billing, credentialing timelines, pricing and onboarding. Every one starts with the short version.

Typical timelines

Commercial payers
45–90 days
Medicare / Medicaid
30–60 days
CAQH updates
3–7 days
Onboarding
1–2 weeks

Onboarding

How long before you're actually running our billing?
One to two weeks in most cases. We collect your practice details, payer information, system access (securely) and workflow preferences, then map how charges will reach us. Nothing gets filed until that handoff is agreed — so there's no gap where claims sit unworked.
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What do you need from our practice to get started?
Provider details, payer mix, system access, and however you already send charges. That's it. Encounter forms, notes or exports — we work around your existing process rather than making your staff learn a new one.

Billing workflow

How does billing work once we outsource it?
You send charges. We do the rest and report back.
  • Your team submits charges, notes or encounter forms.
  • Our certified billers code, scrub and submit the claims.
  • We track every claim through the payer and work whatever comes back.
  • Payments are posted, reconciled and reported to you in real time.
What happens when a claim gets denied?
We work the root cause, not just the resubmission. Anyone can refile a denial. We look at why it was denied — a modifier, missing documentation, an eligibility gap — and fix the upstream habit so the same rejection doesn't come back next month.
Denials climbing? Send us a sample and we'll show you the pattern.

Credentialing

How long does credentialing take?
30 to 90 days, depending entirely on the payer.
  • Commercial payers — 45 to 90 days
  • Medicare and Medicaid — 30 to 60 days
  • CAQH updates — 3 to 7 days
We track every application through to an effective date in writing, and flag re-credentialing before it expires rather than after.
Can a provider see patients while credentialing is pending?
Yes — but you usually can't bill for those visits. Which is why a delayed enrollment is a real cost, not an admin annoyance. Some payers allow retroactive billing to the application date; many don't. We tell you which is which before you schedule.

Systems & security

Do you work with our EHR or practice management system?
Almost certainly yes. We work with all major EHR, EMR and PM systems — Epic, Athenahealth, eClinicalWorks, CareCloud, AdvancedMD, DrChrono, Kareo and NextGen among them. If yours isn't on that list, ask; it's rarely a problem.
How is our patient data protected?
HIPAA-compliant workflows, credentials stored securely, access limited to your team. Only the billers assigned to your practice have access to your systems, and that access is revoked the day someone rolls off your account.

Pricing & contracts

How does pricing work?
It depends on volume, specialty and which services you use — so we quote after we look. We won't put a number on a page that turns out to be wrong for your practice. The A/R review is free and gives us both the information to talk about price honestly.
Are we locked into a long contract?
No. If the service stops earning its keep, you should be able to leave. Plenty of practices take the free A/R review and stop there. That's a fine outcome — you still learn where your revenue is leaking.

Virtual assistants

What can a medical virtual assistant actually handle?
Most of what your front desk does, minus the on-site overhead.
  • Scheduling and appointment confirmations
  • Insurance verification and eligibility
  • Prior authorizations
  • Chart updates and data entry
  • Patient communication and recall reminders
  • Referrals and follow-up coordination
  • Inbox management and documentation assistance
Same hours, same systems, same phone number to your patients.
Curious what it would cost? See virtual assistant services
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