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About Us

iRCM is an industry leader with innovative technology and an expert team. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results.

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Efficient Out of Network Services - Where Efficiency and Accuracy Define Our Worth

Discover unparalleled efficiency and precision for your out-of-network services, ensuring seamless and accurate operations adapted to your needs.
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Out of Network Billing Services

Accelerate Reimbursement by 2x: Get Paid in No Time

Are you one of many healthcare providers who can’t figure out what to do when they are stuck in the web of insufficient and subpar out of network billing services? Frequent encounters with low reimbursement and inadequate or low payments make you feel frustrated that you are not getting paid what you owe or what is worthy.
The absence of effective billing solutions for out of network doctors has led a path to persistent challenges. Finding a reliable out of network billing specialist who can ensure providers to get the deserved payment for their services is becoming a serious issue nowadays.
This makes them think about investing in medical billing companies for out of network providers who can help them get rid of these problems. You don’t need to look for multiple choices when you can partner with iRCM, which is providing industry-leading out of network reimbursement services.
Out of Network Billing Services Image Image 1

Our Proven Process to collect 100% of Billed Charges

1
Insurance Plans & Benefits Check
We first verify the insurance plan and benefits and inform patient about the responsibilities and expectations in case he receives a surprise bill.
2
OON Claim
Submission
Our skilled out-of-network billers guarantee HIPAA-compliant electronic claims submissions for seamless operations.
3
Follow-up &
Negotiations
We diligently follow up on claims, utilizing patient benefit info, negotiating intelligently for maximum insurance reimbursement.
4
Appeals Management Process
We excel in crafting appeals, proving medical necessity, and pursuing unpaid balances for comprehensive claim resolution.
5
Consistent Payment Posting
We consistently post payments for all the claims and keep you updated on the status of claims so that you are aware of any payment discrepancies.
6
EHR/EMR
Integrations
Integration with top EHR/EMR software reduces manual work, eliminating data duplication for streamlined efficiency.

Boost your profits and streamline operations with our expert out-of-network services, maximizing reimbursements effortlessly.

Out of Network Claim Management

Out of Network Claim Management Made Easy

Providers face challenges managing out-of-network claims due to insurance companies’ delay tactics and underpayments. These issues create financial strain, diverting focus from patient care to claim negotiations. Outsourcing to specialists like iRCM Inc ensures fair reimbursement, freeing up providers to concentrate solely on patient well-being.

iRCM Inc excels in out-of-network billing, managing complexities and negotiating with insurance payers on providers’ behalf. Their experienced team tracks claims meticulously, ensuring rightful charges are recovered. By partnering with iRCM Inc, providers reclaim valuable time, allowing them to focus on quality care. 

Entrusting iRCM Inc with out-of-network billing needs grants providers access to skilled negotiators and dedicated billers. With a proven track record in the US healthcare industry, iRCM Inc streamlines claim management, maximizes revenue, and upholds providers’ commitment to exceptional patient care.

Your Claims, Our Expertise

Why Choose IRCM Claim Processing Services

Selecting iRCM Inc for out-of-network billing ensures a seamless experience. Our services cover same-day enrollment, appeals, and payer negotiations, streamlining the process. Certified billers and coders optimize reimbursements, while EHR/EMR integration and real-time payment tracking simplify complexities, providing transparent insights into your revenue.

At iRCM Inc, we prioritize your financial success. With a focus on simplifying the billing process, we navigate intricate networks of insurance carriers, creating a smooth path for your reimbursements. Our commitment to excellence is reflected in our proactive approach to denials, appeals, and negotiations. By choosing us, you empower your practice with a dedicated partner dedicated to optimizing your revenue potential.

Out of Network Billing Services

Customer Feedback That Makes Us Proud

Don't just take our word for it - see what our happy clients are saying about our personalized medical billing services

Rm Moquete
Rm Moquete
2024-01-25
It have been a pleasure working with Dale. He is very responsible and reliable person. We are very please he his work and personality.
Kimberly Martin
Kimberly Martin
2024-01-24
I have worked directly with many representatives of the iRCM team over the last five years with several different medical practices providing diagnostic services. Their professionalism, dedication, communication and efficiency is top tier. They are always available to answer any questions and assist with any issues. It has been great to work together with iRCM and I value their commitment to excellence. Dale Stone and Mark Stuart have assisted me with everything I need for B&L Health Inc.
Foyzul Ahmed
Foyzul Ahmed
2024-01-19
Excellent prompt service. Very knowledgeable and dedicated team. One of the best billing companies i have ever worked with. Continuously they demonstrate their unwavering high quality services to help run my business in a very proficient way! Thank you.
Bablu Basak
Bablu Basak
2024-01-15
I am trusting IRCM for my Billing. They are excellent in all aspects of Medical Billing.
alexandra mejia
alexandra mejia
2024-01-13
we are very satisfied with their services. Dale is top notch and always available, the entire staff is very knowledgeable and courteous. I highly recommend the company!!
Dr. Stephanie Chan, PT Doctor of Physical Therapy
Dr. Stephanie Chan, PT Doctor of Physical Therapy
2024-01-10
I have been grateful to work with iRCM. They made seamless the transition away from my former biller and have been able to procure consistent payments from United Healthcare, which my previous billing service was unable to do, forcing me to stop taking UHC altogether. Thanks to iRCM, I was able to resume accepting UHC and am now reimbursed properly. Last week I had initially given them 4 stars instead of 5, due to my not having full access to claim information and ERAs/EOBs within their A/R system. The person in charge of my account had repeatedly assured me they were working to resolve the problem, but it never materialized, making account reconciliation and revenue tracking inefficient and unwieldy. But Howard has recently taken over my account and once I brought it to his attention, he immediately resolved the issue for me. I am happy to give Howard and iRCM 5-stars now, as they have been highly responsive and effective and I am grateful to work with them.
Ferdousi Begum FNP
Ferdousi Begum FNP
2023-12-31
This is my second year with IRCM, Derek Mercer was with me from the beginning. I am very fortunate that I had excellent help specially from Derek for credentialing process. I did not have knowledge at all how credentialing works, Derek guided me with passion. Now Kate is following his foot steps, and she is also very helpful and respectful. I am lucky to have their service. Thanks Derek and Kate!
ali salman
ali salman
2023-12-29
Great customer service Kate and Derek are so helpful and always professional
Altaf Shaik
Altaf Shaik
2023-12-27
I have been working with iRCM inc. for more than 8 years. They are great person working. They are very cooperative and humble always there to help no matter what especially . MY Adnan is great and helpful in all matters. Listen to problems and find the solution and resolve the queries. Greatly recommended them to work with their team.
Bineta Diop
Bineta Diop
2023-12-21
I have using IRCM since I began my practice in 2018, I am very pleased with their service and had referred friends to them. The whole team is lovely, gentle and always ready to help.I will just name a few, Max cliff, Eric Jones, Ricky Wilson, Alex Parker, Michael Mills. I would not get to where I am now with 4 providers without them. Again thank you for the great job you do out there. Bineta Diop CANP/CEO of WB Homecare Adult & Family Health NP, PLC.

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