EquivoraHealth manages every stage of your revenue cycle, from patient registration and insurance verification to claims submission, payment posting, denial management, and final reimbursement, allowing your practice to focus on delivering exceptional patient care rather than chasing payments.
When billing, credentialing, licensing and technology live in four different companies, the gaps between them cost you money. A provider sits idle waiting on enrollment. A license lapses and claims deny. Your website generates leads your front desk never sees. EquivoraHealth closes those gaps by design.
Clean claims out the door in 24 hours, denials worked in 48, and a dashboard that shows exactly where every dollar sits.
Payer panels opened, revalidations calendared, and rosters kept current so a new hire starts billing on day one.
New states, renewals, DEA registrations and compact privileges handled end to end so expansion never stalls.
A site that ranks, a portal patients actually use, and automation that fills tomorrow's schedule.
Designed to streamline administration across every operational touchpoint of your practice.
A single discovery call captures everything four vendors would ask for separately. Your staff answers once, and we take it from there.
A named senior contact who knows your payers, your providers and your systems, reachable by phone, not a ticket queue.
Collections, denials, enrollment status, license expirations and marketing leads on one monthly report your leadership can act on.
These are the operating benchmarks our teams are held to across the practices we support.
We are not a call center that learned healthcare from a script. Our billers, credentialing specialists and licensing analysts come from practice operations, and it shows in the questions we ask before we touch your revenue.
Your account is staffed by people who bill your specialty every day and know its modifiers, bundling rules and payer quirks.
You keep ownership of your clearinghouse and EHR. Every claim, note and appeal is visible to you in real time. There is no black box.
Aged AR, underpayments, out-of-network balances and denied high-dollar claims are worked, not written off.
HIPAA-focused workflows, signed business associate agreements, least-privilege access and full audit trails on every account.
We earn the next month with the last month's numbers. Month-to-month terms after the initial ramp period.
Typical improvement across the first two quarters of an EquivoraHealth engagement.
Send us three months of remittance data and we will return a written revenue opportunity analysis: denial patterns, underpayments, coding gaps and enrollment issues, at no cost and with no obligation.
Get Free ConsultationStaying out of network is a legitimate strategy, but only if someone is fighting for every claim. Out-of-network reimbursement is negotiated, not posted, and payers count on practices accepting the first offer. Our out-of-network desk does not.
When a patient needs you and no in-network option exists, we build the clinical and financial justification, open the case with the payer and negotiate a written single case agreement before the service is rendered, so the rate is locked, not hoped for.
We benchmark your billed charges against usual and customary data for your ZIP code and specialty, then negotiate case by case with documented comparables instead of accepting an arbitrary allowed amount.
Old out-of-network balances written off as uncollectable are our favorite place to start. We re-open timely-filing-eligible claims, pursue underpayments and recover money your prior biller had already given up on.
Structured, deadline-tracked appeals with medical necessity letters, records and policy citations attached, escalated through first level, second level and independent external review when the payer will not move.
Pre-service benefit checks, gap exception requests and prior authorization filed with the clinical documentation payers actually require, plus peer-to-peer scheduling when a medical director review is needed.
Good faith estimates, clear patient responsibility letters and compassionate balance conversations that protect your reputation while still collecting what is owed.
Pricing you can work out before you pick up the phone. Medical billing starts at 2.49% of collections, and every other service is a published flat fee. No setup charges, no long lock-in, no line items that appear after you sign. Where a job genuinely varies, such as an audit or a custom build, we say so and quote it properly instead of hiding it behind "contact us".
Most billing quotes are deliberately hard to compare. Ours are built so you can put them next to anyone else's.
Billing is a percentage of what actually lands in your account, not of what we submitted, not of what was allowed. If a claim never pays, we never earn on it. That is the whole reason the percentage model exists, and plenty of vendors quietly break it.
A licence is $500. A registration is $350. Those numbers do not move because your practice got busier. Where a government or board charges its own fee, we list it separately and pass it through at cost, so you see exactly what is ours and what is theirs.
The first months of a billing transition need commitment from both sides, so there is a short initial term. After that we run month to month. We would rather earn next month with this month's numbers than hold you to a two-year contract.
Billing, credentialing and audit: The three services that decide how much of the work you already do turns into money in the bank.
Flat monthly rate available instead, if you would rather budget a fixed number.
Volume discount applies when you enroll with several payers together.
Scope and fee confirmed in writing before any work starts.
Flat fees, published up front. Every figure below is our service fee. Government, board and agency charges are separate and passed through at cost. We never mark them up.
State board fees are billed separately at cost.
State filing fees are separate and paid directly to the state.
Agency fees are separate and passed through at cost.
Editable source files are handed over, so you own and can update it.
Preparation and filing support. We do not provide tax advice.
Most practices start with billing and credentialing together.
Quoted as fixed-scope projects, so the number you approve is the number you pay.
Final figure depends on page count and integrations.
Nothing starts until the scope and the price are both in writing.
Advertising spend is separate and paid directly to the platform.
Onboarding, system access and data migration are included.
Board, state and agency fees are never marked up.
No long lock-in once the initial ramp period ends.
Your EHR, clearinghouse and data stay in your name.
Send your specialty, provider count and monthly collections. You will have a written rate within one business day.
Prefer to just ask? Call +1 (571)484-2138.
Four things: monthly collections, average claim value, specialty, and payer mix. A high-volume practice with straightforward commercial claims sits at the bottom of the range. A low-volume specialty with heavy prior authorisation, out-of-network work or complex coding takes more hours per dollar collected, so it sits higher. We tell you which factors moved your number rather than just quoting a figure.
Collections only. We are partners in your revenue generation, meaning we only get paid when revenue successfully lands in your bank account.
No. Standard onboarding, system access, and data migration are fully included at no extra cost.
A/R recovery is bundled directly into our standard medical billing services when you transition to our RCM platform.
Government, state board, and agency filing fees are billed separately at exact cost without any markups.
After a short initial ramp period to ensure a smooth transition, our billing services operate strictly on a flexible month-to-month basis.
Yes. Many practices start with medical billing or credentialing before adding practice audits, websites, or compliance manuals.
Fill out our contact form with your specialty, provider count, and monthly collections to receive a guaranteed written rate within one business day.
EquivoraHealth combines robust software engineering with full-scale revenue cycle management services for healthcare practices. We streamline medical billing, minimize rejected claims, and accelerate cash flow so your organization can thrive. Utilizing advanced automation and AI models, we manage patient scheduling, real-time insurance eligibility checks, and denial resolution workflows.
Whether operating a solo clinic or a multi-location enterprise organization, our Connecticut-based expertise ensures your practice stays compliant, efficient, and financially optimized.
EquivoraHealth brings specialized domain expertise, transparent operational flows, and measurable financial performance metrics to healthcare providers. Our software-driven approach integrates seamlessly with existing EHR and practice management systems to eliminate administrative overhead.
We understand the distinct regulatory and clinical language across over 50 medical specialties. From behavioral health practices to surgical centers, our dedicated account managers and real-time dashboards give providers total visibility into financial performance.
Streamline your practice’s financial health with our end-to-end RCM solutions. From eligibility verification and precise coding to efficient claims management, denial resolution, and patient billing, we optimize your entire revenue cycle.
Automated demographic capture and real-time insurance verification prior to appointments.
Certified coding professionals ensuring compliance with AAPC/AHIMA standards.
Advanced electronic clearinghouse routing with automated error scrubbing before payer dispatch.
Rigorous tracking and fast appeals processing for unpaid or rejected claims.
Transparent patient statements, secure digital payment portals, and friendly customer support.
Comprehensive BI dashboards offering clear visibility into key financial KPIs.
Meticulous end-to-end revenue cycle handling that allows clinical teams to focus entirely on patient care.
Ensuring accurate insurance coverage matching against active provider contracts before treatment begins.
Proactive acquisition of treatment pre-authorizations to eliminate downstream claim rejections.
Certified ICD-10, CPT, and HCPCS coding designed for maximum compliance and reimbursement accuracy.
360-degree compliance auditing to mitigate liability and adhere strictly to regional and federal guidelines.
Custom software engineering and automated workflow integration tailored specifically for healthcare environments.
Click any item from our About, Services, Pricing, AdvancedMD, or Specialties menus to review detailed operational workflows, compliance frameworks, and performance metrics.
EquivoraHealth is a premier healthcare IT and full-cycle Revenue Cycle Management firm headquartered in Connecticut, combining robust software engineering with expert medical billing solutions.
EquivoraHealth blends cutting-edge artificial intelligence with seasoned billing professionals. Our proprietary algorithms handle claims scrubbing, eligibility checks, and anomaly detection instantly, while our human experts manage complex appeals and payer negotiations.
This hybrid methodology drastically reduces operational overhead, minimizes human errors, and secures maximum revenue recovery for your practice without compromising care standards.
Security is foundational to healthcare technology. EquivoraHealth maintains strict HIPAA compliance protocols, robust data encryption, and secure cloud storage architectures to protect sensitive patient records and safeguard provider reputation.
Our team undergoes rigorous security training and adheres to industry-best practices for data privacy, credentialing, and claims transmission. Every workflow is fully audited and engineered for uncompromised security.
"Switching to EquivoraHealth was the best operational decision we've made. Their software integration and dedicated billing team eliminated our AR backlogs completely."
"The AI-driven eligibility checks and precise claim scrubbing have reduced our denial rate to under 2%. Our cash flow has never been stronger."
"Their responsiveness and deep understanding of specialty-specific billing rules are unmatched. We've seen a 25% revenue increase in just six months."
End-to-end RCM covers the complete financial lifecycle of a patient encounter—from scheduling and insurance verification to medical coding, claim submission, denial management, and final patient collections.
We leverage advanced automated error scrubbing, rules-based claim validation, and expert human review to ensure clean claims are submitted correctly on the first pass.
We support over 50 specialties, including behavioral health, urgent care, cardiology, orthopedics, neurology, pediatrics, and multi-specialty practices.
Yes, all systems, data pipelines, and personnel adhere strictly to HIPAA guidelines, featuring enterprise-grade encryption and access controls.
Standard onboarding takes approximately 2 to 4 weeks, depending on your EHR/PMS environment and specialty requirements.
We integrate smoothly with major Electronic Health Record and Practice Management systems including AdvancedMD, Epic, Cerner, eClinicalWorks, and more.
Yes, our team handles prior authorization workflows end-to-end to prevent treatment delays and ensure seamless reimbursement.
Clients receive real-time dashboard access tracking clean claim rates, AR aging buckets, net collection ratios, and denial trends.
Our pricing starts at 2.49% for medical billing, with transparent flat fees for credentialing, licensing, audits, and custom software builds.
Simply fill out the contact form below to schedule your complimentary revenue cycle assessment with our team.
Tell us your specialty, how many providers you have and roughly what you collect each month. You will get your rate in writing within one business day, and if we are not the right fit, we will say so.