Insurance Eligibility & Benefits Verification
We confirm coverage, plan details, deductibles, co-pays and prior-authorization requirements before the visit so claims are built right the first time.
Explore serviceAccurate billing. Proactive A/R management. Clear reporting. A dependable extension of your practice — handling eligibility, coding, claims, denials and collections so your team can focus on patients.
Experienced across the systems your practice already runs
Systems our team has hands-on experience with: AdvancedMD, Tebra / Kareo, athenahealth, eClinicalWorks, NextGen, DrChrono, Office Ally, Waystar, Availity, Practice Fusion.
From the first eligibility check to the last dollar collected, MBS manages the functions that keep practice cash flow predictable.
We confirm coverage, plan details, deductibles, co-pays and prior-authorization requirements before the visit so claims are built right the first time.
Explore serviceAccurate demographic and charge capture, claim scrubbing against payer edits, and timely electronic submission through your clearinghouse.
Explore serviceCPT, ICD-10-CM and HCPCS coding review aligned to documentation, with modifier accuracy and specialty-specific guidance.
Explore serviceERA and manual EOB posting, contractual adjustment review, and reconciliation against deposits so your ledger always ties out.
Explore serviceRoot-cause analysis, corrected claims, appeals with supporting documentation, and feedback loops that prevent the next denial.
Explore serviceSystematic payer and patient A/R work-down by aging bucket, with escalation paths and clear ownership of every open dollar.
Explore serviceWe support independent providers and groups across a focused set of specialties — and we only take on specialties our team genuinely knows how to bill.
No black box. You get accuracy, ownership, transparent numbers and security controls that fit a healthcare operation.
Clean-claim workflows, payer-specific scrubbing and coding review before anything is submitted.
Every open claim and every aging bucket has a named owner and a next action.
You see the same numbers we do — charges, collections, denials and A/R — every month.
Role-based access, secure transfer, workforce HIPAA training and BAAs where applicable.
Every engagement follows the same disciplined sequence, documented and agreed before go-live.
We review your current workflow, payer mix, fee schedule, denial patterns and A/R so recommendations are grounded in your numbers.
System access, a documented responsibility matrix, escalation paths and reporting cadence — agreed in writing before go-live.
Our team runs the agreed functions: eligibility, charge entry, claims, posting, denials and A/R follow-up.
We track clean-claim rate, denial rate, A/R aging and collections, and act on the trends every week.
You receive a clear month-end report and a working session to review performance and priorities.
A sample of the revenue-cycle scorecard practices receive each month. Values below are illustrative and do not represent a specific client.
| Metric | Current month | Prior month |
|---|---|---|
| Claims submitted | 1,248 | 1,187 |
| Clean claim rate | 96.2% | 94.8% |
| Denial rate | 4.1% | 5.3% |
| A/R over 90 days | 8.7% | 10.2% |
| Net collection rate | 97.4% | 96.1% |
Illustrative example for format demonstration only. Actual client data is confidential and never displayed publicly.
Yes. We support independent and group practices nationwide and align our workflows to each practice's payer mix and state requirements.
Primary care, internal and family medicine, pediatrics, cardiology, orthopedics, behavioral and mental health, physical therapy, urgent care and multi-specialty groups. We only take on specialties our team has genuine experience billing.
Yes, including Medicare Advantage and managed Medicaid plans, along with commercial and workers' compensation payers.
We provide coding review and support based on your provider documentation. Practices that need full outsourced coding can add a certified-coder scope.
Yes. Denial management and A/R follow-up are core services, and we frequently take on aged-A/R clean-up projects for practices switching billers.
Share a few details about your practice and we'll review your workflow, payer mix and A/R, then walk you through what a partnership would look like. No cost, no obligation.