Sign the documents. Then we connect, one of two ways.
Nothing happens until the documents are signed. After that you pick one of the two below. Only one is needed, and the choice is yours.
Option A
We install our review software on your server
A small, HIPAA-compliant program that reads claims, ledgers, plans, and payments. It never writes to your system.
One TeamViewer session you schedule and can watch
Encrypted in transit and at rest
Removed the moment you ask
or
Option B
You give us login access to your clearinghouse
A login lets us pull every claim, its status, and the remittances that came back. DentalXChange, Vyne, EDS, Waystar, Optum.
Nothing installed, no remote session
A dedicated user you can revoke any time
Best when the server is hard to reach
Your patients' data
Safe, legal, and read-only.
This is the same arrangement you already have with your clearinghouse and your software vendor. HIPAA is built for it.
Permitted by HIPAA
The Privacy Rule expressly allows sharing patient data with a business associate for payment work. A claims review is payment work.
An agreement, first
Signed before we see a record. It makes Autumn legally accountable for your data, exactly as your clearinghouse is.
Read-only, always
Nothing is posted, edited, or deleted. Your ledgers stay exactly as you left them.
Only what it needs
Claims, ledgers, plans, and payments. HIPAA's minimum necessary standard applies to us.
You hold the keys
Encrypted throughout. Walk away and we remove the software, you revoke the login, and we delete what we pulled.
No one is contacted
Not your patients, not your payers. We read, we report to you, and that is all.
Step 2
We read every claim.
Not a sample. Each one matched against what the payer said and what landed in your ledger, looking for:
Open claims
Denials
Underpayments
Unposted EOBs
Deadlines
Staff hours
Step 3
Your report, within 1 business day.
One document, plain language, numbers behind every line. Yours to keep either way.
Autumn claims reviewPrepared for your practice
What comes back.
What you are owed
Every open claim, denial, and underpayment, with the dollars and the next action on each.
What is at risk
Claims and appeals against a deadline, in the order to work them.
What is unposted
Payer money that arrived but never hit your ledger, matched to its claims.
Your rate
One rate for same-day payment on the claims Autumn sends, before anything is signed.
Then
Stop waiting on payers altogether.
The report is yours either way. But the practices that act on it hand us the billing: Autumn sends your claims and buys every one the day it goes out, so the money is in your account today instead of in ninety days.
Share your details and we will set up your free claims review: our software on your server or a clearinghouse login, your choice, with the report back within 1 business day.