Cut claim denials by up to 32% by matching each Diamond State Health Plan claim to its enrolled MCO
Track Highmark's commercial rules separately from its Highmark Health Options Medicaid rules
Route imaging authorization to National Imaging Associates, not a generic radiology vendor
Keep TC/PC splits accurate across Medicare, Medicaid, and commercial claims alike
Certified CIRCC and CPC coders handle every CPT code, modifier, and global billing rule specific to diagnostic and interventional radiology — maximizing reimbursement on every encounter across all modalities and payer types.
We manage payer credentialing and enrollment for radiologists, imaging centers, and IR practices. CAQH management and timely revalidations keep providers in-network without delays.
We verify patient coverage and imaging benefits before every scan is scheduled. Our team flags missing prior authorizations and AUC gaps early, preventing denials and protecting your revenue upfront.
We manage your complete revenue cycle — from charge entry and claims submission to payment posting and denial resolution — improving collections and shortening days in A/R.
Our certified coders apply precise CPT and ICD-10 codes across X-ray, CT, MRI, and ultrasound claims. Correct TC/PC/Global splits ensure faster reimbursements and fewer claim rejections.
Our team handles scheduling, patient intake, insurance verification, and pre-authorization coordination so your front desk runs smoothly and imaging appointments stay on track.
We audit your billing and coding processes to uncover missed charges, compliance gaps, and revenue leakage — giving you a clear roadmap to recover lost revenue.
$60K to $90K+ in annual staffing costs, hard to justify in a small state
20 to 35% average claim denial rate, wrong MCO, claim denied instantly
Revenue stalls the moment staff take a day off, no backup on small teams
Manual data entry errors cost more than the imaging scan itself ever did
One missed MCO check, and the Diamond State claim bounces back weeks later
Performance-based pricing, RBS earns only when you collect, every payer
98%+ first-pass clean claim rate, validated against each MCO's own rules
365 days a year, 24/7 uninterrupted revenue cycle, zero staffing gaps
AI-OCR reads every superbill, EOB, and ERA the moment each one arrives
Every Diamond State claim matched to the right MCO before submission
Generic billing is the fastest way to a denied radiology claim. RBS delivers specialty-specific revenue integrity built for imaging’s TC/PC splits and modifier rules, so you capture every dollar you’re owed.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours.
Pay only a percentage of what we collect for you
Free claims and A/R audit before you commit to anything.
Radiology Practice Manager
Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.
Medical Director, Diagnostic Imaging Center
Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.
Radiologist & Imaging Center Owner
Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.
