Charge capture & entry
Accurate, timely charge entry from encounter documentation.
End-to-end medical billing — charge capture, claim scrubbing, submission, tracking and posting — with AI-assisted pre-submission checks and certified billers handling every exception.
Medical billing is the operational loop between a patient visit and the money that eventually arrives from a payer. It starts with charge capture, runs through claim creation and scrubbing, continues through payer submission and tracking, and ends with payment posting and reconciliation. When any step is weak, the whole cycle slows.
Opervics runs that entire loop as a dedicated function. AI screens charge data and claim details against payer rules before submission; certified billers handle the judgment calls — coding conflicts, payer-specific requirements, denied or underpaid claims.
Accurate, timely charge entry from encounter documentation.
Pre-submission checks against payer-specific rules.
Claims routed through the right clearinghouse or portal.
Payer-level status visibility with escalation on delays.
ERA/EOB posting, reconciliation and variance flagging.
Denial reasons extracted and fed back into billing and coding.
These are the same operational issues we see across clients — and the same ones our process is designed to remove.
Submitted but not followed up — aging buckets grow and write-offs follow.
The same payer-specific rejection reasons keep recurring.
Delayed charge entry drives denials and pushes revenue further out.
Payer underpayments accepted as final instead of being worked.
Leadership can't see clean claim rate, denial rate, or days in AR.
One biller holds the entire process — and everything stops when they're out.
Every service inherits the same baseline security posture, then adds service-specific controls on top.
Signed BAAs, PHI handling protocols, restricted access, and audit trails.
NDA-bound, HIPAA-trained staff, role-based access, and auditable logs.
AI output is reviewed by trained specialists before it reaches your systems.
Clean claim rate, denial rate, days in AR — reported weekly.
Charge capture, claim scrubbing, submission, tracking, payment posting, and denial feedback — run as a continuous process, not a one-time task.
Yes. We operate inside your existing platform with role-based access set by you.
Yes. We operate under signed Business Associate Agreements with access controls and audit trails.
Typically per claim, per FTE, or as a percentage of collections, depending on volume and scope.
Most single-function medical billing engagements go live within 2–4 weeks.
Clean claim rate, denial rate, days in AR and charge lag — reported weekly with QA sampling on every batch.
A short conversation is usually enough to scope the process and propose a starting point.