Claims and revenue cycle
Billing is where school health funding is won or lost. Our team follows every claim from the first coverage check to the final payment, and your district sees each step.
What we do behind the scenes
Check coverage
We confirm insurance for each date of service, so claims go to the right plan.
Review every claim
Each claim is checked against program rules before it is submitted, to catch problems while they are easy to fix.
Submit and track
Claims go out to Medi-Cal and commercial plans, and we track each one until it is paid or resolved.
Work denials
We find the reason for each denial, correct what can be corrected and resubmit.
Watch deadlines
Claims have filing deadlines. We watch them so reimbursement is not lost to time.
Reconcile payments
We match each payment to the claims it covers, so your district knows what was paid and why.
Consortiums, handled
County offices that lead a consortium can bill on behalf of their member districts. We handle the accounting that comes with it.
- Payments reconciled across every member district
- Each member sees its own claims and results
- Payouts to members calculated and reported
Find the revenue your district is missing
We'll look at how your claims move today and where funding is being left behind.