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Family medicine group: billing and denial management transition

A three-provider family medicine group in Texas moved from an in-house biller to Revelrex billing with denial management, with a defined start date of service and weekly reconciliation.

Texas· Independent family medicine practice
Business problem

The practice's only biller was leaving. Charge lag averaged nine days, clearinghouse rejections were reviewed weekly, and denials were written off when the appeal window was missed. The owner had no report other than the bank deposit.

Revelrex solution

Revelrex onboarded the practice in three weeks: delegated system access, payer rule setup, a documented start date of service and a legacy AR scope for the previous biller to finish. Weekly schedule-to-claim reconciliation, same-day rejection correction and a monthly denial report with practice actions.

  • Combined 4% billing and denial management rate
  • Monthly report with AR aging by payer
  • Credentialing for a new nurse practitioner run in parallel

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