Medical Billing

Full-cycle billing, from schedule to final payment.

From the moment a patient is scheduled to the moment the last dollar lands in your account, insurance or patient, we run the billing.

The claim journey

Follow one claim from booking to paid.

  1. 01Before the visit

    Eligibility & benefits verification

    Coverage, copays, deductibles and authorization requirements are confirmed before the patient walks in. Avoidable denials stop here.

  2. 02After the visit

    Charge entry & coding

    Each visit is coded and its charges entered against the right patient, provider and payer.

  3. 03Within 24–48 hours

    Claim scrubbing & submission

    Every claim is checked for errors, then sent to the correct payer within 24–48 hours of the visit. Fewer first-pass denials, faster payment.

  4. 04When payment lands

    Payment posting & reconciliation

    Insurance payments and adjustments are posted against each claim. Your books match what was actually paid.

  5. 05After insurance pays

    Patient responsibility billing

    The remaining patient balance is billed and followed up until it's collected.

Who does the work

Our international team delivers the same accuracy as US-based billers, at a fraction of the cost, with faster turnaround and no missed steps between departments.

Full-cycle billing, run by people who treat your claims like their own revenue.

Works with your stack

We bill inside your EHR, to the payers you work with.

EHR / EMR systems

athenahealthTebraSimplePracticeeClinicalWorksAdvancedMDDrChronoEpicOracle Health (Cerner)CureMDNextGen HealthcarePractice FusionathenahealthTebraSimplePracticeeClinicalWorksAdvancedMDDrChronoEpicOracle Health (Cerner)CureMDNextGen HealthcarePractice Fusion

Insurance networks

AetnaUnitedHealthcareCignaHumanaTricareAetnaUnitedHealthcareCignaHumanaTricareAetnaUnitedHealthcareCignaHumanaTricare

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Pricing

Billing services starting from 3% of monthly collections.

Final pricing is confirmed after an assessment of your volume, payer mix and specialty, and goes in writing before anything starts.

What's included

13 services
  • Patient demographic entry
  • Insurance eligibility & benefits verification
  • Charge entry
  • Medical coding & code review
  • Claim scrubbing
  • Electronic claim submission
  • Payment posting (ERA/EOB)
  • Denial management
  • Corrected claims & resubmissions
  • A/R follow-up
  • Patient statements
  • Monthly financial reports
  • Dedicated account manager

FAQ

Frequently asked questions

01What's the difference between Medical Billing and Revenue Cycle Management?

Medical Billing runs the full claim cycle from eligibility and submission through posting and patient balances. Revenue Cycle Management coordinates the wider cycle across coding, claims, credentialing, and collections so nothing falls between stages.

02How is Medical Billing different from Medical Billing Audit?

Medical Billing operates your day-to-day claims. Medical Billing Audit analyzes KPIs, denial patterns, and productivity against benchmarks and returns corrective actions. Many practices use both.

03Do we have to use your software?

No. The billing service works with the system you already run. Our software is available where it helps, but adopting it is optional.

04Will switching billing partners interrupt our cash flow?

We run a parallel period with your current process. Your existing submissions keep going while we take over queue by queue, and legacy A/R is worked rather than abandoned.

05How is pricing structured?

Medical Billing starts at 3% of monthly collections. Final pricing is confirmed after the assessment based on volume, payer mix, and specialty, and goes in writing before anything starts.

06Why are my medical claims being denied?

Claims may be denied because of eligibility issues, coding errors, missing authorizations, incorrect payer information, documentation requirements, or other billing issues. We identify the cause and manage the appropriate correction or follow-up.

07Can Torix Health manage my entire medical billing process?

Yes. We can support the complete billing cycle, including eligibility verification, claims submission, payment posting, denial management, AR follow-up, and reporting.

08How can I reduce my outstanding accounts receivable?

Our billing team reviews unpaid claims, prioritizes outstanding balances, follows up with payers, and works on eligible claims and denials to help improve collections and reduce aging AR.

Next step

Start with a conversation about your current billing.

Bring a recent remittance and your A/R ageing. We'll tell you what we'd change, whether or not you engage us.

Book a Consultation