About Us

What is simedbill?

At Simedbill.com, we offer a full-spectrum Revenue Cycle Management (RCM) solution that supports healthcare providers through every phase of the billing lifecycle — from patient intake to final payment. Our services combine expert knowledge with leading-edge technology to streamline processes, reduce denials, and maximize your revenue.

We also manage provider credentialing and enrollment with both government and commercial payers, ensuring you’re eligible to bill promptly and compliantly.

20+ YEARS OF EXCELLENCE

Simedbill.com — From Credentialing to Collections, We’ve Got You Covered.


Whether you’re launching a new practice, expanding provider networks, or optimizing your current revenue cycle, Simedbill.com delivers accurate, tech-powered solutions that turn operational complexity into financial clarity.


Our End-to-End Services Include:


🏥 Front-End & Patient Access Services
  • Insurance eligibility and benefit verification

  • Prior authorization and referral coordination

  • Patient demographic and insurance data entry

  • Financial responsibility estimation


🧾 Medical Coding Services
  • ICD-10, CPT, and HCPCS coding by certified coders

  • Specialty-specific coding expertise

  • Coding audits and documentation improvement

  • Compliance with CMS and payer-specific rules


📤 Claims Management
  • Accurate claim preparation and submission

  • Real-time claim scrubbing to prevent denials

  • Clearinghouse and payer interface management

  • Secondary and tertiary billing


💵 Payment Posting & Reconciliation
  • Electronic Remittance Advice (ERA) and EOB posting

  • Manual payment entry and reconciliation

  • Credit balance resolution and refund processing

  • Payment variance analysis


❌ Denial Management & Appeals
  • Identification and root-cause analysis of denials

  • Timely appeal filing and tracking

  • Resubmissions and payer-specific denial strategies

  • Continuous improvement feedback to reduce recurring issues


📊 Accounts Receivable (A/R) Management
  • Active follow-up on aging insurance and patient balances

  • Segmented workflows for high-value claims

  • Patient collections and billing support

  • Custom A/R and recovery reporting


🧾 Patient Billing & Financial Services
  • Patient statement generation and delivery

  • Online billing portal integration

  • Live support for patient billing inquiries

  • Payment plans and collections assistance


📈 Analytics & Reporting
  • Real-time dashboards and KPIs

  • Monthly financial performance summaries

  • Denial trends and reimbursement analysis

  • Compliance and audit-ready reporting


🛡️ Credentialing & Enrollment Services
  • Initial and recredentialing of providers with Medicare, Medicaid, and all major commercial payers

  • CAQH profile setup and maintenance

  • NPI, PECOS, and other government portal registration

  • Insurance panel enrollment and tracking

  • Payer follow-up and issue resolution

  • Ongoing credentialing compliance and updates


 

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