From claims submission to denial appeals, credentialing to collections MedOralRCM covers the complete billing lifecycle for dental and medical practices.
13 core services
Accurate Dental Coding
Precise CDT coding to support compliant, optimized reimbursement.
Insurance Verification
Verify eligibility, benefits, coverage, and patient responsibility before treatment. Once in Calendar Year = Breakdown, then in Calendar Year = Fax/Web/Short Breakdown.
Dental Claims Submission
Fast, accurate claim submission with appropriate attachments.
Denial Management
Identify denial causes and take proactive action to recover lost revenue.
Appeals & Reconsiderations
Strategic appeals to maximize successful claim recovery.
AR Management
Follow up on outstanding claims and reduce aging accounts receivable.
Eligibility & Benefits Verification
Minimize surprises and improve upfront collections.
Pre-Authorization & Pre-Determination
Help practices obtain necessary approvals before treatment.
Payment Posting
Accurate and timely posting of insurance and patient payments.
Patient Billing & Statements
Clear, professional billing communication to improve collections.
Insurance Follow-Up
Persistent payer follow-up to keep claims moving toward payment.
Revenue Cycle Reporting
Weekly/Monthly transparent reporting and actionable insights into your practice's financial performance.
Provider Credentialing
Streamline provider enrollment, credential verification, and payer contracting to help ensure timely network participation and uninterrupted reimbursement.
13 core services
Accurate Medical Coding
Precise ICD-10, CPT, and HCPCS coding to support compliant reimbursement.
Insurance Verification
Confirm eligibility, benefits, coverage, and patient responsibility.
Claims Submission
Clean, accurate, and timely claim submission to reduce rejections and delays.
Denial Management
Identify denial root causes and take proactive steps to recover lost revenue.
Appeals & Reconsiderations
Strategic appeals to maximize successful claim recovery.
Accounts Receivable Management
Aggressive follow-up on outstanding claims to reduce A/R aging.
Prior Authorization
Manage authorization requirements to help prevent avoidable claim denials.
Payment Posting
Accurate posting and reconciliation of insurance and patient payments.
Insurance Follow-Up
Consistent payer follow-up to accelerate outstanding reimbursements.
Patient Billing
Clear, accurate statements that support timely patient payments.
Charge Entry & Review
Ensure charges are captured accurately and submitted promptly.
Revenue Cycle Reporting
Transparent reporting with actionable insights to improve financial performance.
Provider Credentialing
Streamline provider enrollment, credential verification, and payer contracting to help ensure timely network participation and uninterrupted reimbursement.
Browse our full catalog of billing and revenue cycle services each delivered with the same precision and transparency.
Electronic claims filed with payer-specific rules for maximum first-pass acceptance.
Systematic payment reconciliation with immediate discrepancy identification.
Proactive denial analysis, root-cause identification, and aggressive appeals.
Real-time eligibility and benefits verification before every patient visit.
Confirm coverage details and patient responsibility to eliminate surprise denials.
Persistent, systematic AR follow-up that recovers revenue others abandon.
Provider enrollment, payer applications, and ongoing credential maintenance.
Timely re-credentialing to prevent payer deactivation and revenue disruption.
Clear, professional patient statements and friendly support for patient questions.
Real-time dashboards and custom reports that reveal revenue opportunities.
Deep-dive analysis of your billing process to identify gaps and recovery opportunities.
Comprehensive operational review with actionable recommendations.