Your trusted partner in efficient revenue management
Claimora Solutions manages the billing, coding, credentialing, and collections work that stands between the care you deliver and the revenue your practice earns, so your team can focus on patients, not paperwork.
The numbers behind better billing
Published research on avoidable denials, improper payments, and how providers are using outside revenue cycle support.
of claim denials are potentially avoidable with stronger processes.
Source: Change Healthcare, 2020 Revenue Cycle Denials Indexin estimated Medicare fee-for-service improper payments in fiscal 2025 underscores the need for accurate billing.
Source: CMS, Fiscal Year 2025 Improper Payments Fact Sheetof surveyed hospital and health-system leaders outsource at least one revenue cycle function, averaging 2.2 functions each. Flexible, function-by-function support is common.
Source: Becker’s Healthcare & Savista, 2025 RCM Benchmark SurveyIndustry-wide figures from the published sources named above, not Claimora client results.
Financial stability for your practice, regardless of a changing reimbursement landscape
In today’s unpredictable revenue environment, many providers see declining reimbursements despite steady or even growing patient volumes. We align your practice with the billing discipline, payer knowledge, and follow-through it takes to get paid accurately and on time.
Remote operational support for billing is no longer optional for a practice that wants to stay lean. It has become essential. Claimora provides trained, dedicated professionals to manage your revenue cycle efficiently, accurately, and strategically.
More About ClaimoraComplete revenue cycle management, handled end to end
From the first eligibility check to the last dollar of accounts receivable, we manage every stage of your revenue cycle as one connected process, not a set of disconnected tasks.
Full-Service Medical Billing
One partner for the complete billing function, tailored to your practice.
- Credentialing & Enrollment
- Eligibility & Benefits
- Medical Coding
- Claims Management
- Payment Posting
- Accounts Receivable
- Denial Management
Credentialing & Enrollment
Payer enrollment, re-credentialing, and CAQH maintenance so you can bill from day one.
Eligibility & Benefits Verification
Coverage, copays, and authorization requirements confirmed before the patient is seen.
Medical Coding
Accurate CPT, ICD-10, and HCPCS coding that supports clean claims and audit readiness.
Claims Management
Charge entry, scrubbing, submission, and tracking through adjudication.
Payment Posting
ERA/EOB payments posted and reconciled against expected reimbursement.
Accounts Receivable
Aging AR worked systematically so balances don’t quietly become write-offs.
Denial Management & Appeals
Denials investigated, corrected, and appealed instead of written off.
Not sure which services your practice needs?
Tell us about your practice and we’ll show you exactly where Claimora fits into your current workflow.
The revenue cycle, in order
Every claim moves through the same disciplined sequence. Nothing is skipped, and nothing is left to sit.
- 01Before the visit
Patient Pre-Authorization
We request and track pre-authorizations for appointments, procedures, and medications so coverage is confirmed before care is delivered.
- 02Before the visit
Eligibility & Benefits Verification
Insurance benefits are verified and documented in your EHR, so the patient-responsible amount is accurate from the start.
- 03Point of care
Charge Entry & Coding
Encounters are coded with the correct CPT, ICD-10, and HCPCS codes and entered with the modifiers a clean claim requires.
- 04Post-visit
Claims Submission
Claims are scrubbed, batched, and submitted electronically to the correct payer and clearinghouse, then tracked to acceptance.
- 05Post-submission
Rejection Review & Correction
Any claim rejected by the clearinghouse or payer is corrected and resubmitted quickly, before it risks missing a timely filing deadline.
- 06Post-adjudication
Payment Posting
Payments, adjustments, and patient-owed balances are posted precisely so your books reflect what was actually paid.
- 07As needed
Denial Management
Denied and underpaid claims are investigated, corrected, and appealed rather than quietly written off.
- 08Ongoing
AR Follow-Up & Reporting
Outstanding balances are worked on a schedule, with revenue reports that show exactly where things stand.
What makes Claimora different
Transparency
Daily and weekly progress reports on your RCM, plus scheduled meetings to work through any billing issue as it comes up, not after it has aged.
A Dedicated Team
Billing professionals assigned to your account and working your clinic’s business hours, for faster answers and consistent communication.
Privacy-First Processes
We sign a Business Associate Agreement with every client and limit access to patient information to the team working your account.
Cost-Effective Support
No implementation or training fees, often a lower operating cost than an in-house team, and capacity that scales as your practice grows.
Have a question about your billing?
Talk to our team about your practice, your payers, and where your revenue cycle stands today.
Billing expertise across the specialties that make up modern practice
Every specialty has its own coding rules and payer quirks. Our team is trained to yours, not to a generic template.