Outsourced Medical Billing Services by BNVL Medical Billing Solutions
Efficient Claims Processing
We provide efficient claims processing services to ensure timely reimbursements and reduce denials. Our team of experts are equipped with the latest technology and software to streamline your billing processes.
Compliance and Regulations
We ensure compliance with all regulatory requirements and guidelines to minimize the risk of audits and penalties. Our team of certified coders and compliance experts stay up-to-date with the latest regulations to protect your business.
Revenue Cycle Optimization
Our revenue cycle optimization services help you improve your financial performance and increase revenue. We identify areas for improvement, streamline your workflows, and provide actionable insights to help you make informed decisions.
Patient Billing and Collections
We offer patient billing and collections services to improve patient satisfaction and reduce your administrative burden. Our team of experts handles everything from patient billing to collections and follow-up.
Accounts Receivable Management
Our accounts receivable management services help you collect outstanding payments and reduce your AR days. We have a proven track record of success in resolving outstanding claims and maximizing revenue for our clients.
Customized Reporting and Analytics
We provide customized reporting and analytics to help you gain insights into your financial performance. Our team of analytics experts can provide valuable data-driven recommendations to help you optimize your revenue cycle.
Maximizing Out-of-Network Reimbursements with AI-Driven IDR
Fighting Back Against Insurance Denials
Insurance companies are increasingly using the No Surprises Act to underpay or deny out-of-network reimbursements, creating financial strain for medical providers. At BNVL Billing Inc., we specialize in navigating Independent Dispute Resolutions (IDRs) with a data-driven, AI-enhanced approach—helping practices recover the payments they rightfully deserve.
How We Win Against Insurance Companies
Our proprietary machine learning and predictive analytics platform optimizes the IDR process by:
✅ Identifying the Most Favorable Third-Party Arbitrators
We analyze historical IDR outcomes to match your claim with arbitrators who have ruled favorably in similar cases—giving your dispute the highest chance of success.
✅ Optimizing QPA (Qualified Payment Amount) Submissions
Our AI models assess payer trends and previous rulings to determine the most strategic QPA submission, ensuring it aligns with favorable precedents for your specialty and procedure codes.
✅ Predicting Insurance Company Behavior
We leverage trend analysis on payer tactics, helping providers proactively structure claims for maximum reimbursement—before they even enter the IDR process.
Proven Results: 87% IDR Success Rate
With our advanced approach, BNVL Billing Inc. achieved an 87% favorable decision rate on IDRs last year. Our expertise in revenue cycle management and insurance reimbursement strategies ensures higher recovery rates, fewer denials, and improved financial stability for our clients.
We support all types of medical practices, including:
- Independent & Group Practices
- Hospital-Affiliated Providers
- Out-of-Network Specialists
- Ambulatory Surgery Centers (ASCs)
- Behavioral Health & Specialty Care Clinics
Whether you're a small private practice or a large healthcare organization, we have the technology, expertise, and proven track record to help you recover out-of-network revenue more effectively.
Who We Help
We support all types of medical practices, including:
- Independent & Group Practices
- Hospital-Affiliated Providers
- Out-of-Network Specialists
- Ambulatory Surgery Centers (ASCs)
- Behavioral Health & Specialty Care Clinics
Whether you're a small private practice or a large healthcare organization, we have the technology, expertise, and proven track record to help you recover out-of-network revenue more effectively.
Take Control of Your Revenue
Tired of insurance companies dictating your reimbursements? Let’s change that. Partner with BNVL Billing Inc. and put our AI-driven IDR strategy to work for you.