Summit Billing Solutions works inside the practice management system you already use. Most practices start with medical billing or full revenue cycle management; each service below covers one part of that cycle in depth, so you can add the help you need without changing software. Credentialing and payer enrollment are handled together, for one fixed fee per payer application.
Founded in 2023 and headquartered in Salem, New Hampshire, Summit bills for practices in all 50 states and signs a Business Associate Agreement with every client before handling any patient information.
The full cycle under one team: eligibility, coding, claims, denials, A/R and patient statements. For practices that want one partner from the first appointment to the last payment.
Charge entry, claim submission, payment posting and follow-up on every unpaid claim, inside your own system. Built for small practices and groups.
ICD-10, CPT and HCPCS codes assigned from the record, with a review before each claim goes out.
ERAs and EOBs posted to the claim line and checked against your contracts. Short payments are flagged, not written off.
Patients billed only after every payer has paid, in plain language and on a fixed schedule, and followed up before balances age.
Every denial traced to its cause and corrected or appealed inside the payer's window. Repeat denials are fixed at the source.
Aged claims, underpayments and patient balances worked by deadline and dollar value until they are paid or closed.
Coverage, benefits, referrals and authorization needs confirmed before every visit, so claims go to the right payer the first time.
Each scheduled service checked against the payer's rules, each request sent with the notes it needs, and every decision tracked.
Licences, CAQH and payer applications handled and followed weekly until approval. Payer enrollment is included in one fixed fee per payer application.
Medicare (PECOS), Medicaid and commercial plan enrollment, plus EDI, ERA and EFT setup, priced together with credentialing per payer application.
A sample of your claims checked against the notes, codes and payer rules, with findings by provider and dollar impact.
Benefits verified before the visit, single case agreements negotiated, and No Surprises Act rules applied to every out-of-network claim.
Claims verified with the carrier, billed to the state fee schedule with the required reports, and never billed to the injured worker.
A free look at your claims, denials and receivables, with written findings and a plan, whether or not you work with us.
95 to 98% of the claims we submit are accepted the first time, so there are fewer errors to fix and fewer denials.
Clients experience up to 85% quicker reimbursements, improving cash flow and reducing delays.
Take the first step towards a more streamlined medical billing process by contacting us today! Our team of experts is ready to help you save time and increase revenue. Don’t wait, schedule a consultation now and see the difference our services can make for your practice.
