Answers
Questions providers
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.
Ready to start? Call +1 786-788-7313
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
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.
Want a quote? Send your details or call +1 786-788-7313
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
Curious what it would cost? See virtual assistant services
