Eligibility and benefits
Keep coverage and benefit verification with the client and episode of care before the first claim is prepared.
One revenue cycle, fewer loose ends
A claim can stall because a member ID is wrong, a modifier conflicts with the service, or an authorization expired yesterday. Rewire catches common errors before filing, keeps clearinghouse and payer responses attached to the claim, and gives denied or underpaid work an owner and deadline.
EDI 837P claims
Validate and submit professional claims electronically, then follow acknowledgments and payer status in one timeline.
ERA and reconciliation
Match remittance to billed services, post adjustments, and flag underpayments or zero payment exceptions.
Denials and appeals
Sort work by reason, value, deadline, and owner. Correct, resubmit, or track an appeal through resolution.
Prior auth and LOC
Track approved days or units, level of care, effective dates, utilization review notes, and renewal deadlines.
Per diem billing
Connect attendance and census with authorized days for IOP, PHP, residential, detox, and addiction treatment.
See it with your workflow
Bring the billing problem that keeps resurfacing.
We will walk through your setting, payer mix, claim handoffs, denial work, authorization tracking, and payment reconciliation in Rewire Clinical.
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