Success story
Trust Therapeutics
Trust Therapeutics came to MedHeave with a high-risk revenue problem that it could not resolve internally.
Project Metadata
Specialty
Podiatry
City
New York
Practice size
15+ providers
Locations
Multi-location
The challenge
A remote mental health practice came to MedHeave with credentialing and payer contracting left incomplete, blocking timely claim submission across multiple carriers.
A large number of claims were not on file with the insurance companies at all, and many that had been submitted were misrouted due to incorrect payer IDs.
More than 400 claims remained unpaid, creating a substantial accounts receivable backlog and straining monthly cash flow.
Results
$120 to 125 thousand → ~$180 thousand
Monthly collections
Over 400 outstanding claims corrected and worked through resubmission and appeal
Claims resolved
Enrollment completed with all major insurance payers and provider groups
Credentialing established
Improved after payer ID corrections, raising overall claim acceptance and revenue flow
First-pass acceptance
What we did
Initiated credentialing and payer contracting
Began credentialing and contracting with all major insurance payers and provider groups. Submitted claims under compliant billing arrangements where appropriate while credentialing was still in progress, keeping cash flow moving instead of waiting on approvals to clear.
Corrected misrouted claims
Investigated claims that were not on file and found that many had been rejected or misrouted because of incorrect payer IDs. Corrected the payer IDs and resubmitted every affected claim.
Recovered claims denied for timely filing
For claims denied due to timely filing after the payer corrections, prepared and submitted appeals with supporting documentation, recovering balances that would otherwise have been written off.
Implemented ongoing claim monitoring
Put continuous claim monitoring and follow-up in place to sustain reimbursement gains and keep outstanding accounts receivable from building back up.
Your patients need your attention.
Your claims need ours.
One conversation is enough to identify where your behavioral health billing is losing revenue, which claims are failing and why, and what a correctly structured billing operation looks like for your practice type.
