UClaim360 — Medical Billing & Revenue Cycle Management
Services

New claims, kept moving. Old balances, brought back

Revenue Cycle Management for the work ahead of you: every new claim, from eligibility to payment.

AR Recovery for the money already behind you: aged, denied and underpaid balances. Use one, or both.

Revenue Cycle Management· keeps new claims moving AR Recovery· brings stuck money back
Specialties

Clean claims and recovered A/R, tuned to your specialty

Where we focus first, and what we watch for in each. It's a starting point, not a limit.

Primary Care & Internal Medicine

 RCMChronic-care and wellness visit codes captured A/RHigh volume of small balances, worked consistently

Behavioral & Mental Health

 RCMTime-based therapy codes and telehealth rules A/RCredentialing and authorization denials

Physical Therapy & Rehab

 RCM8-minute rule and KX modifier on every claim A/RPlan-of-care and threshold denials

Chiropractic

 RCMAT modifier and medical-necessity documentation A/RMaintenance-care and necessity denials

Orthopedics & Pain Management

 RCMPrior authorizations and procedure coding A/RHigh-value aged claims worth recovering

Urgent Care

 RCMSame-day submission, visit coding at volume A/RPayer-specific coding denials
Don't see your specialty?We work with other specialties too. Tell us yours and we'll confirm fit honestly. Check your specialty
01Revenue Cycle Management

Your billing workflow.
Handled end to end

A coordinated approach to the complete revenue cycle, from coverage checks to collections and reporting. Scope and workflow are confirmed before we begin.

3.5–5% of net collections · month-to-month
Verify Code Submit Follow up Report
Prepare

Build a cleaner claim.

Eligibility & benefits

Confirm coverage, co-pay, deductible and authorization requirements before the visit, so incomplete insurance details don’t become denials.

Coding & charge capture

CPT, ICD-10, HCPCS and modifiers assigned, and billable services captured, for accurate claims and fewer missed charges.

Claim review & submission

Claims checked against payer requirements and submitted electronically, catching errors early.
Resolve

Keep the work moving.

Payment posting

ERA/EOB payments posted and reconciled against expected reimbursement, so underpayments and open balances stay visible.

Denials & appeals

Denial causes investigated, issues corrected and appropriate appeals pursued, not just resubmitted.

AR & patient follow-up

Payer follow-up, and respectful communication about patient balances, to move them toward resolution.
Understand

Make progress visible.

Reporting

Collections, AR days, denial patterns and outstanding actions, summarized into a practical view of billing performance.
Up close · payment posting

Paid isn't always paid in full

Every payment is checked against what you should have received. When a payer pays less than your contracted rate, we flag it and follow up.

Allowed amount vs. your contracted rate Patient responsibility, posted correctly Adjustment codes, read and acted on
Remittance advice Sample
Claim CLM-0918 · 99214 · 09/14/2026
Billed$184.00
Allowed by payer$132.00
Your contracted rate$148.00
Paid by payer$96.00
Patient responsibility$36.00
Adjustment codeCO-45
Underpaid by $16.00 · flagged for follow-up
Signals we report onIllustrative sample, not client results
91% First-pass yield ↑ Higher is better
24 days Average days to payment ↓ Lower is better
68% Denials overturned ↑ Higher is better
96% Net collection rate ↑ Higher is better
02Accounts Receivable Recovery

The work is done.
Let's address what's unpaid

A focused review of aged, denied, rejected and underpaid claims, with clear priorities and documented follow-through.

12–18% of recovered dollars · nothing if nothing is recovered
01

Review aging

Segment receivables by age, payer, claim status and value.
02

Prioritize

Rank the work by recoverability and urgency, deadlines first.
03

Resolve

Correct, appeal and follow up until each balance has an outcome.
04

Track outcomes

Document progress, results and the recurring causes behind them.
Inside the recovery process

Every balance needs a clear next action

From the first aging review through reporting. Recoverability varies by payer rules, documentation and deadlines.
01

Aging analysis

 Receivables segmented by age, payer, status and value, then ranked by recoverability and urgency.
02

Backlog cleanup

 Older balances worked in a documented recovery campaign, bringing structure to stalled claims.
03

Denial resolution

 Denial reasons investigated, supporting documents assembled, corrections and appeal options identified.
04

Payer follow-up

 Portals and phone calls to clarify status and requirements, with the next action documented for every claim.
05

Underpayment review

 Payments compared with available contracted rates, and differences worth pursuing flagged.
06

Deadline review

 Claims near filing or appeal deadlines identified and moved to the front of the queue.
07

Patient A/R & reporting

 Respectful patient-balance follow-up, and reports on recurring causes, so the process improves, not just the backlog.
03Which one fits

Use one,
or both

One looks forward, one looks back. Here's how they compare, side by side.

Revenue Cycle Management

Looks forward

AR Recovery

Looks back
Revenue Cycle Management, Best for: Practices that want billing handled end to end, going forward.
AR Recovery, Best for: Practices with aged, denied, rejected or underpaid balances already on the books.
Revenue Cycle Management, What we work on: Every new claim, from eligibility to reporting.
AR Recovery, What we work on: Existing receivables, oldest and most time-sensitive first.
3.5–5%
Revenue Cycle Management, How it’s priced: of net collections. Money collected, not gross charges.
12–18%
AR Recovery, How it’s priced: of recovered dollars. Nothing recovered, nothing owed.
Revenue Cycle Management, Terms: Month-to-month. No setup or early-termination fees.
AR Recovery, Terms: Scope and eligible claims agreed in advance.
Using both

Clear the backlog, then keep it clear

A common order when a practice has old balances and wants billing handled going forward.
Step 1 · AR Recovery Clear what's already owed. Aged, denied and underpaid balances, worked oldest first.
Step 2 · Revenue Cycle Management Keep new claims from piling up again. Every new claim handled from eligibility to payment.
Add-ons

Extra help, priced on its own

Add any of these to RCM or AR Recovery, or use them by themselves. All prices in USD.
A dedicated person
AR caller Full-time follow-up on your unpaid claims.
$1,400–1,600 per month
Biller / coder Full-time, working inside your systems. Mini-teams quoted.
$1,600–1,900 per month
Flat pricing
Per-claim billing A fixed price per claim, instead of a percentage.
$3–4 per claim
Credentialing Enrolling providers with insurance payers.
$99–149 per provider, per payer
Quoted by volume
Prior authorization Getting payer approval before services are delivered.
Custom by volume
Patient statements Clear, respectful billing statements for patients.
Custom by volume
No setup fees No resubmission fees No early-termination penalties Exact rates confirmed in writing after your free assessment.
04Working together

Your systems.
A defined process

Your systems

We work inside the EHR and clearinghouse you already use. Platform experience and access are confirmed during onboarding.

A clear start

Access, documentation, reporting and escalation requirements are reviewed before work begins.

Patient data

Handled only through an agreed secure workflow, with the appropriate agreements in place.

Named ownership

Every workflow has a named owner and agreed escalation points. No anonymous queues.
05Free assessment

A clearer picture starts here

Tell us about your practice. We'll review where things stand and send a written summary with a proposed next step. No obligation, no system access needed.

Get a free RCM assessment