General practice billing with fewer loose ends.
In a small practice, the same person may answer the phone, check a patient in and chase a rejected claim. We help general practices build a clear route from a completed visit to a settled account. The work starts with the services you provide, not a generic list of codes that may not fit your practice.
- ClaimsDocumentation review
- A/RPayer follow-up
- ReportsClear next actions
Three ways General Practice claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- The provider record does not match the claim
The rendering clinician, billing entity and service location need to match the payer’s records. We review enrollment-related rejections and identify what the practice must update.
- A charge is submitted before the record is ready
Missing signatures or unclear service details can hold up payment. We keep these items visible and direct documentation questions to the appropriate clinician.
- Rejected claims sit outside the follow-up queue
A rejected submission may never reach payer adjudication. We distinguish transmission failures from denials and track the correction needed to get a valid claim accepted.
What we bill for general practice teams
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How General Practice accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- Agree the services in scope
We review your actual charge list, clinicians and locations, including any services paid directly by patients.
- Build a manageable daily queue
New charges, rejected submissions and documentation holds are separated so the next action is easy to see.
- Follow the payer response
We compare the response with the submitted claim and supporting record, then track corrections or appeals where appropriate.
- Keep the practice informed
Your report shows unresolved work, aging and the decisions that need your input. We agree a contact for questions on both sides.
Included for general practice teams
- Charge review against the clinical record
- Eligibility and benefit checks within the agreed scope
- Submission and rejection follow-up
- Payer denial review and supported appeals
- Payment posting and balance reconciliation
- Aged receivable review
- Specific documentation queries for your team
- Reporting on outstanding work and next actions
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
General Practice billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate General Practice service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat general practice teams ask
How is general practice different from family medicine?
General practice is a broad description of medical practice. Family medicine is a defined specialty. Billing should reflect the clinician’s actual credentials, enrollment and documented services, rather than treating the labels as interchangeable on claims.
Is this suitable for a solo practice?
Yes. We can discuss a scope that fits the practice’s volume and staffing. The initial review focuses on where outside billing support would be useful.
Can you review clearinghouse rejections?
Yes. Rejections are reviewed separately from payer denials because they often need a different correction and may affect timely filing.
Let’s review your general practice billing
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.