About
From inside the plans, now on your side.
Kevin spent more than 15 years on the health plan side of Medicare Advantage claims. He knows why plans deny claims and what gets them paid.
What that means for you
- Claims operations from the plan side: adjudication, encounters, CMS compliance and audits.
- Appeals filed the way plans review them, with the rule and the record that answers the denial.
- Plain answers. If a claim isn't worth chasing, you'll hear that before any work starts.
Who we work with
Independent practices in Scranton and Northeastern Pennsylvania: podiatry, physical therapy, eye care, primary care and other small offices without a full-time denials team.
Patient privacy comes first: a Business Associate Agreement before any data, the minimum information each claim needs, encrypted storage, and no patient data in public AI tools.
Let's look at your denials.
Call or text Kevin, or send a message. You'll hear back within one business day.