Full-Lifecycle Outsourced Billing
Complete end-to-end management of charge entry, automated claim scrubbing, electronic EDI submission, payment posting, and patient balance statements.
Turnkey Billing Engine A trusted healthcare revenue cycle & operational partner info@primepulsehealthcare.com +1 (904) 638-3934
REVENUE ACCELERATION & CLEAN CLAIMS
High-velocity medical billing
built for maximum cash flow.
PrimePulse powers end-to-end medical billing for hospitals, surgical centers, and physician practices. From automated claim scrubbing and electronic clearinghouse submission to rapid ERA payment posting and secondary balance billing, we eliminate leakage and keep revenue moving forward.
24–48h Submission turnaround
98.5% First-pass clean claim rate
HIPAA & HITECH certified
Medical Billing Commitment
Accuracy, Velocity & Complete Transparency
Automated multi-payer claim scrubbing catching payer-specific edits prior to clearinghouse release
Line-item electronic remittance advice (ERA 835) and paper EOB reconciliation within 24–48 hours
Aggressive secondary and tertiary payer billing with zero balance write-offs without supervisor review
Direct integration with major EHRs (Epic, AthenaHealth, Cerner, NextGen) requiring no software migration
FLEXIBLE DELIVERY MODELS
Tailored medical billing shaped around
your practice operations.
Whether your practice requires full-cycle revenue management or targeted assistance to clear high-volume unbilled claims backlogs, our certified billing professionals scale around your workflows.
Staff Augmentation & Billing Teams
Certified medical billing specialists working seamlessly inside your EHR to eliminate unbilled charge backlogs and bridge medical office staffing vacancies.
Flexible Dedicated TalentSpecialty Practice Billing
Subspecialty billing mastery for ambulatory surgery centers, cardiology, orthopedics, oncology, and behavioral health with intricate payer rules.
High-Complexity DisciplinesPre-Bill Auditing & Clean-Up
Forensic reviews of unbilled claims, modifier validation, medical necessity concordance, and high-dollar claim review preventing costly front-end denials.
Quality Gatekeeping PRACTICE DISCIPLINES
Extensive specialty billing mastery
across clinical sectors.
Payer reimbursement guidelines differ radically between hospital operating suites, outpatient specialty clinics, and ancillary diagnostics. Our teams bring deep specialization to every encounter.
Hospital & Surgical Suites
Complex procedural billing, facility charge capture, and multi-component claim adjudication.
Outpatient & Specialty Clinics
High-volume encounter billing, multi-provider clinics, and specialty diagnostic reconciliations.
Diagnostic & Specialized Care
Ancillary health billing requiring precise technical and professional split-component processing.
HOW WE DELIVER
Our disciplined 5-step
medical billing lifecycle.
From initial charge capture and algorithmic scrubbing to electronic clearinghouse transmission and ERA posting, every claim is monitored for complete accuracy.
01
Charge Capture & Demographic Scrub
We validate patient insurance eligibility, active policy details, guarantor data, and clinical coding concordance before claim creation.
02
Rules-Engine Claim Scrubbing
Claims run through automated scrubbing algorithms checking NPIs, CCI edits, LCD/NCD coverage policies, and pre-authorization numbers.
03
Electronic EDI Submission
Submitting daily scrubbed EDI 837 batches directly to commercial, Medicare, and Medicaid clearinghouses with instant 999/277 tracking.
04
Electronic Remittance Posting (ERA)
Posting ERA 835 electronic payments line by line within 24–48 hours, applying contractual adjustments and routing denials instantly.
05
Secondary Claims & Patient Statements
Generating clean secondary and tertiary claims with primary EOBs attached, followed by transparent, patient-friendly billing statements.
EHR PLATFORMS & SETTINGS
Partnering seamlessly across
major healthcare EHR systems.
We eliminate technical friction by working directly inside your current software environment, maintaining complete audit trails and data integrity.
Epic & Oracle Health (Cerner)
Enterprise billing workflows, Resolute PB/HB integration, and hospital-owned clinic network synchronization.
AthenaHealth & NextGen
Cloud-native billing optimization, automated clearinghouse rule configurations, and clinical document attachments.
eClinicalWorks & Allscripts
Streamlined fee schedules, electronic superbill validation, clearinghouse bridge management, and E/M coding validation.
Specialty PMs & EHRs
Kareo, AdvancedMD, WebPT, Modernizing Medicine, CareCloud, and customized proprietary practice management software.
REQUEST A BILLING EVALUATION
Maximize your practice cash flow
with complete transparency.
Tell us about your practice volume, billing challenges, or current clearinghouse rejections. We will schedule a comprehensive revenue cycle evaluation and present actionable insights.
Complimentary initial billing & clean claim rate audit
Direct EHR integration with zero provider workflow downtime
Dedicated account manager and bi-weekly collections reviews
Performance-based contingency or predictable fixed-rate models
Billing inquiry formA revenue cycle director will respond within one business day.
FREQUENTLY ASKED QUESTIONS
Medical billing questions
answered clearly.
Find direct answers on our clean claim metrics, clearinghouse connections, payment reconciliation, and onboarding timelines.
What is your average first-pass clean claim submission rate?
Our partner practices consistently achieve a 98.5%+ first-pass clean claim rate. Our multi-tiered scrubbing engines and certified billing specialists catch NPI discrepancies, missing modifiers, and pre-authorization errors before claims reach clearinghouse gates.
How does PrimePulse integrate with our existing EHR/PM software?
We operate directly inside your existing EHR and practice management system (Epic, AthenaHealth, Cerner, NextGen, eClinicalWorks, etc.). You never have to migrate software or compromise clinical continuity—we log in securely and work as an extension of your back office.
How quickly do you post insurance payments and electronic remittances?
We post electronic remittances (ERA 835) and manual explanation of benefits (EOBs) within 24 to 48 hours of payer deposit, reconciling line-item payments and immediately isolating copays, deductibles, or claim denials.
How do your billing fees work?
We offer flexible contingency pricing structures based on a percentage of net collections, ensuring our incentives are directly aligned with your practice revenue. For practices seeking specific support, we also offer predictable hourly and modular flat-rate options.