Claims & billing
Most practices do not lose money on claims that get denied. They lose it on claims nobody had time to chase. Pepper takes on the follow-up that is easiest to put off — the portal checks, the hold music, the paperwork — and gives every claim a next step.
01
The claim is built from the visit. Codes, modifiers, units, place of service and provider details are checked against the payer's own rules and your history with them.
02 · your call
Nothing is filed under your NPI until someone on your team has looked at it. Batch review, single review, or auto-file for the categories you trust — you decide the line.
03
Submission is tracked, portals are checked on a schedule, and payers get called when the portal says nothing useful. No claim sits untouched in the aging report.
04
Appeals drafted, secondary claims filed, patient balances explained, and the payment matched back to the ledger once it lands.
Denials and unexpected outcomes come back to a person before the next decision. Pepper will not quietly write off a balance or change a code to make a claim go through.
Every payer portal checked on its own rhythm, with status changes surfaced in one place instead of six logins.
When a claim needs a human on the phone, the call gets made and the reference number, rep name and outcome are logged.
Denial reason read, documentation gathered, appeal drafted with the records attached — ready for your signature inside the filing window.
Once the primary pays, the secondary goes out with the right attachments instead of waiting for someone to notice.
Statements that explain what insurance did and did not cover, in language that does not generate a phone call.
Worked oldest first, every week, with a short list of the claims that genuinely need your judgment.
What stays human
Pepper prepares, checks, chases and documents. It does not decide what care was delivered, it does not choose a higher-paying code, and it does not negotiate a write-off. Those calls belong to you and your billing lead — and the trail shows who made each one.
Documentation drives the code. Nothing is coded to a level the note does not support.
Every action is logged — what was checked, what was said on the call, what was filed and when.
Your existing biller or billing service stays in the loop. This replaces the chasing, not the judgment.
We will walk through what is sitting there, what is recoverable, and what we would pick up first.
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