Leading Medical Billing Company in USA
Profit-Focused Medical Billing,
Always On the Watch
In 2026, rising administrative challenges and claim denials can impact your facility’s performance. We support 500+ healthcare providers by reducing A/R days and achieving net collection rates of up to 95%.
Revenue Loss Stops Here
Administrative burdens have soared by
29.3%
We help prevent revenue loss with expert-driven medical billing and advanced technology that minimizes errors, reduces denials, and resolves issues related to missing documentation, incorrect modifiers, NCCI edits, and payer filing requirements.
Billing Benefits
Get Paid in Days, Not Weeks
AI-Driven
Predictive Denial Prevention
RPA Automation
Eligibility, ERA, Charge Capture
Top Revenue Risks Affecting Healthcare Practices
40%
of practices lose 10% of annual revenue
19%
of in-network claims are denied
45+
AR days faced by most practices
$125K
lost annually to coding errors
Our Proven Process
7-Step Medical Billing Process
Patient Registration & Verification
Real-time eligibility verification and benefit discovery to prevent front-end errors.
Prior Authorization Management
Proactive tracking with automated follow-ups to reduce denials.
Medical Coding & Documentation
Accurate ICD-10/CPT coding aligned with AMA updates and edits.
Claims Submission & Scrubbing
Process clean claims quickly with advanced scrubbing workflows.
Payment Posting & Reconciliation
Automated ERA/EOB posting with accurate payer mapping.
Denial Management & Appeals
Root-cause analysis and appeals to recover lost revenue faster.
Patient Billing & Collections
Patient-friendly statements and payment options to improve satisfaction.
What Do We Do For You?
Comprehensive Medical Billing Services
Overwhelmed by compliance requirements and administrative workload? Partner with us to streamline your RCM, eliminate revenue gaps, and improve first-pass claim acceptance rates.
From patient check-in to final reimbursement, we cover every step of your end-to-end RCM. That means no leaks in your revenue cycle, along with a higher first-pass claim acceptance rate. Our workflows follow CMS guidelines, NCCI edits, and payer-specific billing rules to prevent denials before submission.
Automated claims validation and intelligent routing for commercial and government plans.
Expert ICD-10, CPT, and HCPCS coding reviewed using CCI edits and LCD/NCD rules.
Automated workflows to handle approvals quickly, supporting high-risk procedures and surgeries.
Real-time checks for co-pays and deductibles to prevent rejections and support effective rejection handling.
Precise reconciliation of underpayments, flagging discrepancies automatically.
We identify denial trends and rework claims to recover revenue most practices write off.
Every rejected claim costs time and money. Our AI claim scrubbers catch coding errors, payer edits, and missing data before submission, helping you achieve higher first-pass acceptance. Clearinghouse-level scrubbing ensures alignment with Medicare, Medicaid, and commercial payer edits.
Credentialing can take months if mishandled. We manage NPI, CAQH, and payer enrollment from start to finish, so you’re onboarded faster and start receiving payments without delay. Includes PECOS, Medicaid state enrollment, and CAQH maintenance.
Compliance with MIPS/MACRA is non-negotiable for protecting reimbursements. We streamline your documentation and help maintain a performance score of 75 or above. Supports Quality, PI (Promoting Interoperability), Cost, and Improvement Activities categories.
Who Do We Serve?
Solutions That Scale with Your Vision
Cost-Efficient RCM Solutions
Reduce denials and optimize collections with streamlined workflows.
SSimplify Your Billing
Efficient billing and coding support so you can focus on care.
SCentralized Billing
Streamline multi-provider billing with better financial visibility.
GMulti-Location Solutions
Improve reporting and revenue capture across multiple locations.
PHigh-Volume Compliance
Handle high-volume claims with accurate compliance validation.
HCentralized Revenue Cycle Management
Simplify enterprise billing across multiple specialties and locations.
EWhy BilRex Solutions?
The Smart Choice for Outsourced Billing
Revenue Recovery & Growth
Maximize collections up to 35% with specialty-specific coding, automated claim scrubbing, payer-specific edits, and aggressive follow-up on underpayments and denials.
Highly Certified Team
Our AAPC and AHIMA certified professionals hold CPC, CPB, COC, CRC, RHIT, RHIA, CCS, and CMRS credentials to ensure coding accuracy and compliance.
100% Compliance
OIG audits, MACRA/MIPS tracking, NSA compliance, payer policy checks, internal QA cycles keep your practice protected.
Advanced Technology
Predictive denial prevention, automated EDI validation, ERA/EOB auto-posting, eligibility automation, RPA-driven workflows and real-time payer rule engines.
Transparent Reporting
KPI reporting, payer mix analysis, underpayment detection, denial trends, provider productivity reports and customizable BI dashboards.
Flexible Pricing
Encounter-based, percentage-based, and hybrid pricing models suitable for small practices and enterprise networks. No hidden fees.
Get The Answers You Need
Frequently Asked Questions
Outsourcing medical billing means handing over claim submissions, follow-ups, and revenue cycle tasks to a dedicated billing company like Dastify Solutions. This reduces errors, speeds up payments, and allows your staff to spend more time focusing on patient care. It also improves payer compliance by ensuring claims follow CMS updates, state Medicaid rules, and commercial payer guidelines.
Medical coding assigns standardized codes (ICD-10, CPT, HCPCS) to diagnoses and procedures, while billing uses those codes to create and submit insurance claims. Both work hand-in-hand; accurate coding ensures clean claims and faster reimbursements.
Denials often happen because of incorrect coding, missing documentation, eligibility issues, or authorization errors. Our team quickly identifies the cause, corrects the claim, and resubmits it to minimize revenue loss. We also apply automated root-cause analytics to detect recurring coding or payer-rule errors.
Checking insurance eligibility upfront ensures patients are covered for the services they receive. It prevents claim rejections, avoids surprise bills for patients, and helps your practice collect payments faster.
We charge 4% to 6% of collected revenue. For specialties with revenue above $20,000, we offer a flat fee depending on the complexity of your practice. Pricing includes full access to RCM dashboards, payer reporting, and compliance support.
Medical billing services handle your entire revenue cycle: Claim Submission & Follow-Up, Coding & Documentation (CPT, HCPCS, ICD-10), Payment Posting, Accounts Receivable Recovery, Denial Management & Appeals, Patient Billing & Support, Reporting & Analytics, Payer-specific edit checks, NSA compliance, and latest (2026) CMS regulatory alignment.
Absolutely. We follow strict HIPAA compliance, maintain enterprise-grade security, and implement SOC 2 standards to ensure your patient data is fully protected. All data transmissions use encrypted EDI channels and secure PHI workflows.
Yes. BilRex provides specialty-specific billing services tailored to your practice. We support procedure-heavy, diagnostic, surgical, and encounter-based specialties with full payer-rule mapping across 75+ specialties.
