Integrity Revenue Care
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01
Insurance Verification & Eligibility Checks
Coverage Verification – We verify patient insurance coverage before appointments to ensure services are covered.
Benefits Check – We confirm deductibles, co-pays, and coverage limits to avoid billing surprises.
Real-time Eligibility – We provide instant eligibility checks for streamlined patient intake.
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02
Claim Submission
Electronic Filing – We submit dental claims electronically for faster processing and reimbursement.
Accurate Coding – We ensure proper CDT and ICD codes to minimize claim rejections.
Documentation Review – We verify all required documentation before submission.
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03
Claim Follow-Up
Payment Tracking – We monitor all submitted claims to ensure timely processing and payment.
Missing Payment Recovery – We track down missing payments and resolve discrepancies.
Status Updates – We provide regular updates on claim status and expected payments.
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04
Denial Management
Appeal Processing – We address and appeal denied claims with additional documentation.
Error Correction – We identify and correct errors before resubmitting to insurance companies.
Root Cause Analysis – We analyze denial patterns to prevent future rejections.
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05
Payment Posting
Accurate Recording – We post all payments to patient accounts including insurance and co-pays.
Reconciliation – We reconcile payments with EOBs to ensure accuracy.
Reporting – We maintain detailed records of all payments received.
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06
Patient Billing and Statements
Statement Generation – We generate clear, itemized patient bills for outstanding balances.
Payment Reminders – We send timely statements and payment reminders as needed.
Payment Plans – We help set up flexible payment arrangements for patients.
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07
Accounts Receivable Management
AR Monitoring – We manage accounts receivable to ensure timely collection of payments.
Collection Follow-up – We contact patients and insurers for overdue payments.
Aging Reports – We provide detailed aging reports to track outstanding balances.
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08
Compliance & HIPAA Adherence
Regulatory Compliance – We ensure all billing practices comply with healthcare regulations.
HIPAA Standards – We maintain patient confidentiality according to HIPAA guidelines.
Audit Preparation – We keep documentation ready for compliance audits.
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09
Credentialing
Insurance Enrollment – We handle provider applications to get you in-network with major insurance carriers.
CAQH Management – We set up and maintain your CAQH profile for smooth credentialing.
Follow-ups & Tracking – We monitor applications and follow up with payers to ensure timely approvals.
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010
Outsourcing and Staff Training
Complete Outsourcing – We offer full billing outsourcing solutions for dental offices.
Staff Training – We provide comprehensive training on billing processes and codes.
Ongoing Support – We offer continued support and updates on industry changes.
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