Credentialing
Licenses, CAQH attestation, revalidation and payer enrollments, tracked well ahead of each due date.
Healthcare revenue cycle management
Denied claims, worked until they're paid.
ClaimNovaCare finds out why each claim was denied, fixes or appeals it, and follows up with the payer until it's paid or closed. You see every claim and every dollar.
- A person reviews every appeal
- Deadlines from your payers' own rules
- Files and letters encrypted
Denials don't fix themselves. Appeal windows close, follow-ups slip, and the money quietly becomes a write-off.
We make sure each one gets worked, on time, by a person who knows what the payer wants.
What we do
From your first claim to the money in your account.
Three parts, one team. Pick the help you need and we keep you up to date.
01
Seamless Start
Get set up right, so claims aren't denied before they're even sent.
Prior authorizations
We track the dates and units on every authorization and warn you before one runs out or ends.
Payer setup
Appeal windows, phone, fax and portal for each payer, entered from your contracts, never guessed.
02
Bridge To Payment
When a claim comes back unpaid, we find out why and fix it.
Denial management
We read the reason and remark codes, find the root cause, and choose the right fix: appeal, corrected claim, or the information the payer asked for.
Appeals
Letters built from the claim and the payer's codes, completed with your clinical facts and reviewed by a person. First-level, second-level and external review.
Payer follow-up
We call, check portals and log every contact, with the next follow-up date set, so no claim sits waiting.
03
Fast Reimbursements
Work the right claims first, and see every dollar that comes back.
Most money first
Each day starts with the claims that matter most: the most money, the best chance of winning and the closest deadlines.
Underpayment recovery
We compare what payers paid with your contracted rates and go after the difference.
Monthly report
A one-page report each month with the money recovered, by payer, and your own sign-in to check any claim.
How we work
Clear steps, no surprises.
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1
Start with a free check
Run a remittance (835) file through our free denial check. It reads the file in your browser and nothing is uploaded.
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2
Set up your payers
We enter each payer's appeal windows from your contracts. Deadlines are counted from those, never guessed.
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3
We work the claims daily
Each day starts with the claims that matter most: the most money, the best chance of winning and the closest deadlines.
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4
You see the results
Sign in any time to see your claims, and get a one-page report each month showing what came back.
How we hold ourselves
The rules we don't bend.
A person approves every appeal.
Software drafts the letters. A person reviews and approves each one before it goes out.
We find the cause first.
Not every denial should be appealed. Some need a corrected claim or the missing information instead.
Deadlines are never guessed.
Each one is the denial date plus the appeal window in your payer contract.
Your data is protected.
Files and letters are encrypted, sign-in uses two-step codes, and every view and change is logged.
Built on our own software
We run your claims on Claimrang.
We built Claimrang to do this work well. It ranks each day's claims, tracks every deadline and drafts appeals for our team to review. You get your own read-only sign-in to follow along.
- Your claims, deadlines and follow-ups in one place
- Remark codes explained in plain words
- A monthly report with the money recovered
Who we help
Practices that would rather see patients than chase payers.
Independent practices
No billing department? We act as yours for the claims that come back unpaid.
Specialty and group practices
More providers, more payers and more authorizations, all tracked in one place.
In-house billing teams
Hand us the backlog or the hard denials while your team keeps up with new claims.
Questions
Good to know.
What do you need from us to get started?
A recent remittance (835) file or a list of open denials, and the appeal windows from your payer contracts. Try the free denial check first to see what's in your files.
Will you send anything without us knowing?
No. Every appeal is reviewed and approved by a person before it goes out, and you can see each claim and its status in your own sign-in.
Do you appeal every denial?
No. We look for the cause first. Some claims need a corrected claim or missing information, and some can't be recovered. We tell you which is which.
How will we know what you recovered?
Each month you get a one-page report showing the money brought back, by payer, and you can check the details any time.
Does the free denial check upload our file?
No. It reads the file inside your own browser. Nothing is sent to us.
Let's get your denied claims paid.
Tell us about your practice and we'll show you how we'd work your claims.