Trusted by 500+ Medical & Dental Practices

Revenue Cycle Management
Built for Modern Medicine

MedFlow RCM maximizes reimbursements, eliminates billing errors, and keeps your practice financially healthy — with HIPAA-compliant automation and a dedicated team of RCM experts.

HIPAA Compliant
SOC 2 Ready
48-Hour Onboarding
No Long-Term Contracts
app.medflowrcm.com/admin/dashboard
Net Collection Rate
96.4%
+4.2%
Days in AR
18.2
-6.1 days
Clean Claim Rate
98.1%
+2.8%
Denial Rate
3.7%
-14.2%
Collections Trend
Top Payers
UnitedHealth32%
Aetna24%
BCBS22%
Cigna12%
0%
Avg. Net Collection Rate
0+
Practices Served
0 Days
Average Days in AR
0%
Average Denial Rate
0B+
Claims Processed Annually
Our Services

Complete Revenue Cycle,
Start to Finish

From the moment a patient books an appointment to the final payment posting — we own the entire revenue cycle so you don't have to.

Medical Billing & Coding

Accurate ICD-10, CPT, and HCPCS coding with AI-assisted review — reducing denials and accelerating reimbursement for every claim.

  • AI-powered code scrubbing
  • Multi-payer claim submission
  • Real-time claim status tracking
  • EOB reconciliation & posting

Credentialing & Enrollment

End-to-end provider credentialing with all major payers. We manage applications, follow-ups, and re-credentialing so you can focus on care.

  • CAQH profile management
  • Medicare & Medicaid enrollment
  • Commercial payer credentialing
  • Re-credentialing alerts & tracking

Insurance Verification

Automated eligibility checks before every visit — real-time benefits verification, copay extraction, and patient responsibility calculation.

  • Real-time eligibility checks
  • Benefits breakdown & copay
  • Prior authorization tracking
  • Deductible & OOP monitoring

Prior Authorization

Streamlined PA workflows with payer portals and fax integrations. Reduce admin burden and avoid costly delays for your patients.

  • Automated PA submission
  • Status tracking & escalation
  • Appeals & peer-to-peer support
  • Urgency-based prioritization

AR Management & Recovery

Systematic accounts receivable follow-up to recover every dollar owed. Our team pursues aged AR with payers and patients alike.

  • 90/180-day aging analytics
  • Automated denial management
  • Payer-specific follow-up queues
  • Patient balance collection

Analytics & Reporting

Real-time dashboards with KPIs that matter: collection rate, days in AR, denial rate, and payer-level performance benchmarks.

  • Custom KPI dashboards
  • Payer performance analysis
  • Provider productivity reports
  • Financial trend forecasting
How It Works

Up and Running in 48 Hours

No lengthy implementations. No IT projects. MedFlow integrates with your existing EHR/PM system and gets your revenue cycle humming — fast.

01

Onboard in 48 Hours

Upload your practice credentials, payer contracts, and provider info. Our team handles the rest — no long implementations.

02

We Audit Your Current RCM

We review your payer mix, denial trends, and aging buckets to build a custom revenue recovery roadmap.

03

Claims Go Live

Our billers submit clean claims daily. AI scrubs every claim before submission to catch errors before payers do.

04

Track & Optimize

Access your live dashboard 24/7. Monthly performance reviews keep your collection rate climbing.

AI-Powered Claim Scrubbing

Our proprietary AI reviews every claim before submission — catching coding errors, bundling issues, and payer-specific requirements that cause denials. Average clean claim rate: 98.1%.

ICD-10 ValidationModifier CheckLCD/NCD ComplianceBundling Rules

Denial Prevention Engine

Proactive denial management with automated root-cause analysis. We appeal, resubmit, and recover — maximizing every dollar.

Auto-AppealsRoot Cause AnalysisPayer Trend Reports

Real-Time Eligibility

270/271 EDI transactions instantly verify patient benefits before every visit — eliminating surprise denials.

270/271 EDICopay Extraction

Live Revenue Dashboard

Your practice CFO on demand — real-time AR aging, payer scorecards, and provider-level KPIs.

AR AgingKPI Tracking

Enterprise Security

AES-256 encryption, role-based access, BAA agreements, and annual SOC 2 audits keep your data airtight.

SOC 2 ReadyHIPAA BAA
Specialties

Built for Your Specialty

Every specialty has unique billing rules, payer contracts, and compliance needs. MedFlow brings deep expertise in the specialties that matter most to you.

Specialty-specific coding

CPT/HCPCS codes unique to your specialty — coded and scrubbed with payer-specific rules.

Payer contract expertise

We know the quirks of each major payer for your specialty. Fewer surprises, faster payments.

Compliance & LCD coverage

We stay current with Local Coverage Determinations so your claims meet payer medical necessity requirements.

Specialty KPI benchmarks

Compare your financial performance against specialty-specific industry benchmarks and identify improvement opportunities.

Security & Compliance

Your Data Is in Safe Hands

MedFlow is built to meet the strictest healthcare compliance standards. Every component of our platform undergoes rigorous security review and annual third-party audits.

HIPAA Compliant
BAA available
SOC 2 Ready
Audit in progress
AES-256 Encryption
At rest & in transit
Multi-Payer EDI
2000+ payer connections
Real-Time Eligibility
270/271 transactions
Audit-Ready Logs
Full chain of custody
Business Associate Agreement (BAA) Included
Every MedFlow practice receives a signed BAA — standard with all plans, at no extra cost.
Get Your BAA
Testimonials

What Our Practices Say

Real results from real practices — across specialties, practice sizes, and geographies.

MedFlow increased our net collection rate from 81% to 96% in under 90 days. The credentialing team got us enrolled with 4 new payers we had been struggling with for months.

SO
Dr. Sarah Okonkwo
Family Medicine — Chicago, IL

Our DSO group has 12 locations across 3 states. MedFlow manages ALL our dental billing. Denial rate dropped from 18% to under 4%. Outstanding team.

MV
Marcus Villa
CFO, Sunrise Dental Group

Prior auth used to eat 15 hours a week for my staff. MedFlow cut that to almost zero with their automation. My team actually loves coming to work now.

KT
Dr. Kevin Tran
Orthopedic Surgery — Houston, TX

Ready to Maximize Your Revenue?

Get a free practice audit — no commitment required. We'll analyze your current RCM, identify revenue leaks, and show you exactly how much you could be collecting.