Outpatient billing — enhanced by modern tools

Get paid faster.
Get denied less.

HealthFlow Billing is a medical billing partner built for outpatient practices. We bring deep California payer expertise to practices nationwide. We catch denials before they happen, verify eligibility before every visit, negotiate your payer rates, and handle every step of the revenue cycle so you focus on patients.

Get a free billing review → See how it works
PPO, HMO, Medicare & Workers Comp
HIPAA-compliant infrastructure
California expertise, nationwide service
98%
First-pass clean claims
96%
Denial overturn rate
12
Avg days in A/R
22%
Avg revenue lift
What we do

Full-cycle billing, run smarter.

Every step of your revenue cycle, handled by a team that pairs human billers with AI checks at every stage. Click any service to see what's included.

Outpatient Billing & Claims

Accurate CPT & ICD-10 coding, daily claim submission, payment posting, and patient statements for PT, chiropractic, acupuncture, and other outpatient practices.

Eligibility & Benefits

Real-time verification before every visit. Patient cost-share, deductible status, visit caps, and authorization requirements — all surfaced upfront.

Denial Management

Every denial is investigated, reworked, and appealed — with our AI flagging the root cause and the highest-probability fix in seconds.

Claim Scrubbing & Coding Review

Every chart is reviewed against payer-specific rules before submission, catching missing modifiers, incorrect units, and documentation gaps.

Reporting & Analytics

A live dashboard showing your A/R, payer mix, denial trends, and reimbursement velocity. No more black-box billing.

Credentialing & Contracting

Provider enrollment, payer credentialing, and contract negotiations with PPOs, HMOs, and Medicare Part B — start to finish.

Modern technology

Every claim, watched at every step.

Most billing companies wait for problems. We catch them before submission. From the moment a patient checks in, every claim is verified, scrubbed, submitted, tracked, and followed up with modern billing technology backing our team at every step.

  • Pre-submission scrubbingEvery claim is checked against payer-specific edit rules before it goes out the door, so errors get caught before they become denials.
  • Pre-submission scrubbingWe use AI tools to review every claim against payer-specific rules before submission, catching errors that would otherwise result in denials.
  • Faster appealsWhen a claim is denied, we use AI-assisted tools to draft appeal letters quickly and get them submitted within days, not weeks.
  • We stay current so you don't have toPayer rules change constantly. We track every update across Medicare, Medicaid, and commercial payers so your claims stay clean.
Eligibility check
AI coding scrub
Submission
Adjudication
Payment posted
Always working
24/7 revenue cycle
California born

We know California payers better than anyone.

California has one of the most complex payer landscapes in the country. Medi-Cal managed care, dual-eligible crossovers, Workers Comp under the OMFS, and dozens of commercial plans each with their own rules. We built HealthFlow navigating all of it every single day.

That depth is our edge. When you know how the toughest market in the country actually pays, every other state gets easier. We bring that same precision to practices wherever they are.

Bay Area Los Angeles San Diego CA

Rooted in California. Expanding across the West and beyond.

Eligibility & benefits

Know exactly what's covered — before the patient walks in.

Every visit is verified against the payer's system before the patient arrives. Your front desk sees deductible status, copay, visit caps, and authorization requirements upfront. And when a payer requires a phone call to confirm benefits or authorizations — and many do — we get on the phone and handle it, so your staff never sits on hold. No more end-of-month surprises, no more denied claims for "patient not eligible."

Fast
Electronic checks in seconds, payer calls handled by us
100%
Visits checked pre-service
PPO · HMO · Medicare
All California payers covered
2-way EHR sync
Pulls + writes back to your EHR
Results that speak

Higher denial-overturn rates. Lower days in A/R.

We hold ourselves to the highest standards in outpatient billing. These are the benchmarks we target for every practice we work with, and the results our clients see.

Denial overturn rate
0%
Of denied claims that we successfully appeal and recover. The industry average sits below 70%.
HealthFlow 96%
Industry average 67%
0
First-pass clean-claim rate
0
Avg days in A/R
0
Avg revenue lift in 90 days
0
Faster appeal turnaround

Performance targets based on industry best practices for outpatient billing. Individual results vary by practice mix and payer concentration.

Cristian fights for every dollar your practice has earned and does not let claims fall through the cracks. Hiring HealthFlow Billing was one of the best business decisions I have made.

Studio Brava Physical Therapy

Los Angeles, California

Who we work with

Outpatient practices, wherever you are.

We handle billing for a range of outpatient specialties. Rooted in California, serving practices across the country. If you see patients and bill insurance, we can help.

Physical Therapy

PT, DPT, PTA

How we help →

Chiropractic

DC

How we help →

Acupuncture

L.Ac, DAOM

How we help →

Occupational Therapy

OT, OTR, COTA

How we help →

Pain Management

MD, DO

How we help →

Other Outpatient

Speech, Podiatry, and more

How we help →
Payers we work with

We bill every major insurance.

From Medicare to commercial PPOs to workers compensation. We know California payers inside and out, and we handle payer connections, EDI enrollment, and ERA setup in any state from day one. Being in network is only the starting point though. What each of these plans actually pays you is a number that can move, and for most practices it has not moved in years.

A payer will never call to offer you more.

Rates sit where you left them until someone makes a case to move them. For every plan above, we can tell you what you are being paid per code, how that compares to Medicare and to your market, and whether the contract is worth renegotiating, worth keeping as is, or worth walking away from. Some of these plans pay well in one region and poorly in another, and a few delegate your specialty to a third-party network with rules the contract never mentions.

Not sure which payers your practice should be in network with? →
Why HealthFlow

We don't just send your claims out.

Most billing companies push claims and work whatever bounces back. That is the whole job description. We think the job is bigger: making sure every code that should be on the claim is on it, that your schedule supports the care your patients are authorized for, and that the rates you agreed to years ago still make sense today.

01

Built for outpatient practices

We work with physical therapy, chiropractic, acupuncture, occupational therapy, and pain management practices. We built our expertise on Californias complex payer landscape, which means we know the CPT codes, the modifiers, the visit caps, and the way each PPO, HMO, and Medicare contractor actually pays, wherever you practice.

02

Every code checked, not just sent

A claim can lose money without ever getting denied. A missing bilateral modifier, an additional level left off, guidance billed where it was already bundled, units counted one way for every payer. None of it flags. It just pays less, on every visit, all year. We check the claim before it goes, and we check the payment when it lands.

03

We work with your scheduling team

Billing is where practice economics show up, not where they start. We track visits remaining on every authorization so nobody delivers care that cannot be billed, watch where patients drop off before finishing their plan of care, and flag the patterns that quietly cost you revenue at the front desk rather than in the claim.

04

Your contracts, revisited

Signing a payer contract is not the end of the conversation. We compare your allowed amounts code by code against Medicare and against your market, find the agreements that have quietly fallen behind, and build the case to bring them back up. Before any of that, we confirm the payer is even honoring the rate you already have.

05

Technology that does the busywork

Charge entry, eligibility checks, denial root-cause analysis, appeal drafting — streamlined with modern tools. We spend our time on judgment calls, not data entry.

06

Transparent, always

You get a live dashboard, weekly written summaries, and a phone number that goes to a real person — not a ticket queue. We treat your revenue like our own.

Cristian Popescu, Founder of HealthFlow Billing

I didn't inherit a billing playbook. I took over the billing for a multi-provider outpatient practice with no handoff from the previous billers, no notes, no shortcuts. I had to learn every payer, every denial, every fee schedule from the ground up, and I rebuilt that revenue cycle myself, claim by claim. That fresh start taught me things most billers never learn, because I couldn't rely on how it had always been done. Today I bring that same ground-up rigor to every practice we work with: every dollar followed up, every denial fought, nothing left on the table.

Cristian Popescu

Founder, HealthFlow Billing

FAQ

Questions practice owners ask us.

Straight answers, no sales talk. If your question isn't here, just ask.

We charge a percentage of what we collect for you. No flat fees, no per-claim charges, no hidden costs. If you do not get paid, we do not get paid, so our incentive is exactly aligned with yours: maximum reimbursement on every claim. Request a free billing review and we will give you an exact rate with no obligation.
No. You keep your existing EHR, documentation, and scheduling exactly as they are. We integrate with your current system or work alongside it. Your clinical workflow does not change at all.
Typically 3 to 4 weeks from signing to your first claims going out through us. Week 1 is setup, weeks 2 to 3 are payer enrollments and testing, and week 4 is go live. Your billing never stops during the transition because we run the new system in parallel before switching over.
We work them. Existing accounts receivable, pending claims, and outstanding denials from before you joined get followed up and resolved. We do not leave money sitting in your old system.
No. We handle every payer connection, EDI enrollment, ERA setup, and enrollment form from day one. You will not make a single call to an insurance company or touch a single form. That is the entire point of hiring us.
Often, yes. Most practices have never asked their payers for a rate review, and payer contracts are not set in stone. We review your fee schedule code by code, compare it against what the market pays, and contact payers on your behalf to negotiate when there is a case to make. We also make sure your billed charges are not accidentally capping what payers would otherwise reimburse, which is a surprisingly common and expensive mistake.
Yes. We are fully HIPAA compliant, sign a Business Associate Agreement with every client before touching any data, and maintain professional liability and cyber insurance. Your data is only ever used to do your billing.
You can. We do not trap clients in long contracts with punishing exit clauses. If you terminate, we finish working the claims we submitted, hand over every record and report, and help you transition cleanly. We keep clients by performing, not by locking them in.
Free, no commitment

See what your billing is actually leaving on the table.

Our free financial audit reviews your last 90 days of claims and reimbursements. We identify denial patterns, undercoded visits, missed modifiers, and contracted-rate gaps — then show you exactly what fixing them would have paid you.

  • 90-day claims & remittance review
  • Denial root-cause breakdown by payer
  • Coding & modifier opportunity report
  • 30-minute walk-through of the findings

Request your free audit

We'll get back to you within one business day.

Your information stays with us. No spam, no sharing — ever.

or
Thank you — we received your request. A HealthFlow specialist will reach out within one business day.
Get in touch

Talk to a real person.

Questions about pricing, scope, transitions, or anything else? Send a message or pick up the phone — we'd love to chat.

Phone
(323) 327-2764
Email
contact@healthflowbilling.com
Office
California-based, serving practices nationwide
Hours
Mon–Fri · 8am–6pm PT
Thanks for reaching out — we'll respond shortly.