Every claim has a story. We make sure it ends in payment.
Mediclaim Rulers runs billing and credentialing for practices across the United States — chasing the claims your team doesn't have time to chase, and fixing the reasons they were denied in the first place.
Claim #40118-C
Cardiology · commercial payer- ✓Eligibility verifiedMar 4
- ✓Coded and submittedMar 5
- !Denied — CO-197, no authorizationMar 12
- ✓Retro auth obtained, appeal filedMar 13
- $Paid in full$4,182.60
Two problems, one team.
Billing and credentialing fail together. A provider who isn't enrolled properly generates claims that can't be paid — so we run both sides under one roof.
Medical billing
From the eligibility check before the visit to the last dollar collected after it.
- Coding, charge entry and claim submission
- Denial management and appeals
- A/R recovery and payment posting
- Patient statements and support
Credentialing
Getting your providers in-network, and keeping them there without gaps.
- Commercial, Medicare and Medicaid enrollment
- CAQH and PECOS management
- Payer contracting and fee schedules
- Re-credentialing and expiry tracking
Most denials are not surprises.
They cluster into the same handful of causes, quarter after quarter. Here's the mix we typically find when we audit a practice's last 90 days.
How we start
No rip-and-replace. We work inside the EHR and clearinghouse you already use, and the first month is about proving the numbers move.
A free look at your last 90 days
We review claims, denials and aging to show you what's recoverable and what's leaking.
A written plan, not a pitch
You get the findings and the fix list whether or not you hire us.
Onboarding in about 30 days
Access, SLAs and reporting cadence agreed, with your account lead named.
Monthly review that isn't a PDF dump
A short call on what moved, what's stuck, and what changes next month.
Billing is not admin. It is the difference between a practice that grows and one that survives.
That's why we don't sell seats or ticket queues. Every practice gets a named account lead who knows your payer mix, your specialty and your front desk by name — and who you can call.
Twenty-five services, two pillars, one team.
Take the whole revenue cycle or just the piece that's leaking. Every service below can run standalone or as part of full RCM.
Medical billing, run from eligibility to the last dollar.
Thirteen services that close the gaps claims fall through — before the visit, during adjudication, and long after the first denial.
Credentialing that doesn't quietly expire.
Twelve services covering enrollment, contracting and renewal — so providers get in-network sooner and never drop out by accident.
What's included
Not sure this is the piece that's costing you? The free review looks at all of it and tells you where to start.
Book a free reviewHow it works
Questions we get asked
Related services
Coding rules change by specialty. So do we.
A cardiology denial and a behavioral health denial rarely share a cause. Our coders are assigned by specialty, not pooled.
Where we work most
These are the disciplines we bill every day. If yours isn't listed, ask — the list keeps growing.
Why specialty assignment matters
Modifier rules, documentation standards and payer policies differ enough that a generalist coder will cost you money in ways that never show up as an obvious error.
A billing partner that treats your revenue like its own.
Mediclaim Rulers is a US medical billing and revenue cycle company based in Alexandria, Virginia, working with practices from solo providers to multi-site groups.
What we actually do differently
Plenty of billing companies will submit your claims. Fewer will tell you why the last hundred were denied, and fix the cause upstream at your front desk.
We work root causes, not queues. Every denial is categorised, every pattern is reported back, and the fix goes to whoever can prevent it — scheduling, coding or the provider's documentation.
Named accountability
One account lead owns your results. Not a shared inbox, not a ticket number.
Reporting you can read
A monthly pack in plain language, with the three numbers that matter first.
Both sides of the problem
Billing and credentialing in one team, so enrollment gaps stop causing claim denials.
No system migration
We log into what you already run. Your data stays where it is.
Your patients' data, handled the way the law expects.
Billing means touching protected health information every day. Here's how we protect it, and what we'll sign before we start.
How we protect PHI
Signed BAA before any access
A Business Associate Agreement is executed before we touch a single record.
Least-privilege access
Staff see only the systems and patients their assigned work requires, and access is revoked the day it's no longer needed.
Encryption in transit and at rest
No PHI moves over email or consumer messaging apps. Transfers use encrypted, logged channels only.
Audit trails on every action
Who opened what, and when, is logged and reviewable — including by you.
Annual HIPAA training
Every team member is trained and re-certified, with records available on request.
Documented breach response
A written incident plan with notification timelines that meet the Breach Notification Rule.
Billing compliance
Do you ever code to a higher level than documented?
What happens if an audit finds a problem?
Are you involved in No Surprises Act requirements?
Can we audit you?
Notes from inside the revenue cycle.
Practical write-ups on denials, coding changes and payer behaviour — written by the people who work the claims, not a content agency.
Let's look at your last 90 days.
Tell us about your practice and we'll show you what your current billing is leaving on the table. No cost, and you keep the findings either way.
Alexandria, VA 22304
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