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908-829-0133

Info@prismaticahealth.com

AAPC Certified · HIPAA Compliant · 10+ Years

Comprehensive
Medical Billing
Services

15 specialized billing verticals. One trusted partner. Transform your practice revenue with a 98% clean claim rate and 30% average revenue increase.

0% Clean Claim Rate
0 Providers Served
0% Revenue Increase
0 AR Turnaround
Our Specialties

15 Specialized Billing Verticals

Every medical specialty has unique billing codes, common denials, and payer policies. Our dedicated teams handle each with precision.

How It Works

Our End-to-End Billing Process

01

Eligibility Check

We verify patient demographics and insurance coverage before every encounter.

02

Certified Coding

AAPC coders translate documentation into accurate ICD-10, CPT & HCPCS codes.

03

Claim Scrubbing

Our proprietary system catches 98% of errors before claims reach the payer.

04

Electronic Submission

Clean claims submitted instantly to all major payers via EDI 837.

05

Payment Posting

ERA/EOB payments posted and reconciled within 24 hours of receipt.

06

AR Follow-Up

Unpaid claims aggressively worked until every dollar is recovered.

100% HIPAA

AES-256 encryption, VPN-secured access, fully compliant

AAPC Certified

All coders hold active AAPC certifications

500+ Providers

Trusted by practices in all 50 states

24/7 Support

Dedicated account managers always available

FAQ

Frequently Asked Questions

98 out of every 100 claims are accepted on first submission ??? meaning faster payment, less rework, and steady reliable cash flow with minimal denial management overhead.

Yes. All our coders hold active certifications from the American Academy of Professional Coders (AAPC), ensuring precision ICD-10, CPT, and HCPCS coding with strict compliance.

Our Denial Management team investigates every rejection, identifies root causes, rectifies errors, and files comprehensive appeals ??? tracked until full resolution.

Yes. We manage the entire prior auth lifecycle ??? securing pre-approvals for complex treatments, advanced imaging, and specialized therapies through ePA portal integrations.

Absolutely. We use AES-256 encryption, secure VPNs, strict physical and digital access controls to keep all Protected Health Information (PHI) fully protected.

Most practices see measurable revenue improvements within the first 30-60 days. Full optimization of your revenue cycle typically occurs within 90 days of onboarding.

Ready to transform your practice?

Stop Leaving Revenue on the Table

Partner with Prismatica Health and experience an average 30% revenue increase. Get expert RCM support tailored to your specialty at no upfront cost.