Industry

Medical Billing

Claims automation for medical practices and billing companies.

Our medical billing system

ClaimSpring

ClaimSpring is the system we build for medical practices and billing companies. It brings claims in from the software your office already uses, builds the packets, files them with the payers, and tracks the appeals, so your team only works the claims that need a person. Every status, form, letter and email template is set up around how your office runs.

See a full day of work in ClaimSpring

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Fully customizable. Built around the way your office works.

Every status, flag, field, form, letter and email template is set up to match how your office works.

How we help

Claims automation for medical practices and billing companies.

Built for medical practices and billing companies that handle claims and sensitive information. Every claim is tracked from the time it comes in until it is paid, with the packets and submissions handled for you. Works for ABA practices too.

All industries

Key challenges

What we hear from teams like yours

  • Submitting claims takes forever
  • Claims get denied because of user errors
  • Denied claims sit in a spreadsheet no one owns
  • Underpaid or disputed claims stall for months with no clear next step
  • Payments arrive without a clear match to the claim
  • Compliance and audit paperwork consumes admin hours
  • Reporting for owners and payers lives in five places

Our approach

How we work with you

  1. 1Map every claim's lifecycle end to end with your billing team
  2. 2Reduce user errors at the point of entry so fewer claims get denied
  3. 3Track underpaid and disputed claims through negotiation and IDR
  4. 4Give leadership one place to see revenue, aging, and denial reasons
  5. 5Keep everything HIPAA-safe without adding steps for your staff

Some ways we help businesses like yours

A few examples.

Claims Intake

Claims come in from your billing software on their own. No re-keying.

Claims Tracking

Every claim by payer, with its status, its age and who owns the next step.

Packets

Releases, consents and supporting documents generated and attached to each claim.

Submission

Claims go to the insurer with the full packet, and the responses are logged.

IDR Disputes

Independent Dispute Resolution built in, so disputes are tracked instead of lost.

Payments

Payments matched back to claims, so you see what is paid, short paid and open.

Emails and Reports

Emails go out from the portal. Owners get reports without asking.

Something else in mind? Tell us.

Try it yourself

Explore the ClaimSpring portal yourself

Open the portal your team would work in and click around a sample practice:claims, automated activity, documents and the audit log.

DemoThis demo shows the workflow of one medical practice. The reports, actions, automations and documents are set up for each company's own billing process. Sample data only, not a live account.

Outcomes

What changes for your team

  • Fewer claims lost in follow-up
  • Faster time to payment
  • Appeals and disputes filed before the deadline, every time
  • One source of truth for revenue and AR

Our workflows are so much more efficient!

Devorah G., Global Teletherapy

The changes they have implemented have saved us actual time and money!

Sara G., Ginsberg Associates

Want this for your office?

Tell us what’s slowing you down. We’ll build you a solution.