Reimbursement Management
Your Revenue Cycle. Fully Managed.
Most practices lose 15–30% of earned revenue to billing errors, uncollected AR, and unworked denials. CoreMedX Health manages every stage of your revenue cycle, from the moment a charge is captured to the day the final payment is posted, so you collect what you’ve already earned.
Reimbursement Management
Your Revenue Cycle. Fully Managed.
Each service is staffed by dedicated specialists and backed by real-time reporting — so every stage of your billing process is covered, tracked, and optimized continuously.
Medical Billing
Charge entry, ICD-10 and CPT-4 coding review, multi-layer claim scrubbing, and electronic submission across 1,200+ commercial, Medicare, and Medicaid payers.
98.6% first-pass clean claim rate on initial submission
Learn More →
Insurance Claims
End-to-end claim lifecycle management from submission through adjudication — with real-time status tracking and same-day correction on every rejection received.
24 hrs from rejection received to corrected claim resubmitted
Learn More →
Denial Management
Systematic denial triage, root-cause analysis by payer and reason code, formal appeal filing within 24 hours, and peer-to-peer coordination managed without consuming physician time.
78% appeal overturn rate vs 42% industry average
Learn More →
Payment Posting
Automated ERA and EOB posting within 2 hours of receipt, underpayment detection benchmarked against your contracted rates, and daily end-of-day reconciliation across all payment sources and payer portals.
97% straight-through ERA auto-post rate, zero manual entry
Learn More →
AR Recovery
Structured 30/60/90-day payer follow-up with escalation protocols, high-value claim prioritization, and a continuous recovery cycle that keeps AR over 90 days well below the national average.
8% AR over 90 days vs 22% national benchmark
Learn More →
Medical Billing & Claim Submission
Clean Claims. Filed Fast. Paid the First Time.
A single billing error costs your practice far more than the original claim, in staff time, rework cycles, and delayed cash flow. Our certified coders and AI-assisted scrubbing engine apply 3,200+ payer-specific edit rules to every claim before it leaves your system, catching errors that manual review misses on every encounter, every day.
Claims are submitted electronically within 4 hours of charge capture across 1,200+ payers, commercial, Medicare, Medicaid, and managed care, with real-time status tracking from submission to payment. Your team sees exactly where every claim stands without chasing payers or logging into portals.
Denial Management
Every Denial Worked. Most Overturned.
The average practice abandons 65% of denied claims without filing a single appeal, leaving $1,200 per physician per month uncollected. CoreMedX Health treats every denial as recoverable until proven otherwise: reviewed within 4 hours, appealed within 24, and tracked to final determination.
Monthly denial scorecards show you which payers, codes, and providers drive your denial rate, so the same denial doesn’t recur next month. Our 78% appeal overturn rate means most of that revenue comes back.
AR Recovery
AR Under 8%. Industry Average Is 22%.
Accounts receivable that ages past 90 days has less than a 50% chance of being collected. Most practices discover this problem in a quarterly report, by which time tens of thousands in revenue has already become a write-off risk. CoreMedX Health prevents that with a continuous follow-up cycle that never lets a claim age without a documented action behind it.
We work every open claim at 7, 14, and 30-day intervals with payer-specific escalation protocols, moving from automated portal checks to specialist calls to supervisor-level escalation based on age and dollar value. Your AR over 90 days stays below 8%, compared to a national average of 22%.
Measured Results
Numbers That Define Our Standard
Clean Claim Rate
First-pass acceptance rate across all payers, commercial, Medicare, and Medicaid.
Learn More →
Appeal Overturn Rate
Denied claims overturned on appeal, versus a 42% average for in-house billing teams.
Learn More →
Days in AR
Average days from claim submission to payment posting, versus a 38-day industry average.
Learn More →
Net Collection Increase
Average improvement in net collections within 6 months for practices onboarded to CoreMedX.
Learn More →
Stop Losing Revenue You've Already Earned.
Book a free 20-minute revenue cycle review with a CoreMedX specialist. We’ll identify the specific gaps in your current billing process and show you exactly what recovery looks like, no commitment, no obligation.