01●
Smart Claim
Scrubbing Engine.
Every clinical claim is scrubbed by automated algorithms and reviewed by certified AAPC coders to achieve clean claims rates > 98%.
Sub-24hr submission turnaround
Done-for-you Billing Ops|5 partner spots open this month
Your billing
department.
MaximizedScrubbed and run
for you.THE REVENUE CYCLE SUCCESS SUITE
We integrate Electronic Claim Scrubbers & Denial appeals, and run them for you! You didn't spend a decade studying medicine to spend your evenings coding CPT records and fighting insurance companies. Let's fix that.
98.6%
Clean Claim Rate
+12.4%
Collections Lift
< 28 Days
Average Days in AR
The Billing Tax
Success has a secret cost: the Billing Tax.
More claims submitted, more hold times. More denied appeals, more late-night coding. The admin grind that grows with your practice.
4 hours a day on "insurance tennis." The arithmetic is staggering.
Appealing claims, correcting ICD-10 typos, manually posting payments. Chasing $40 copays from statements that get lost in the mail.
At $150/hr for a provider's clinical rate, that's a silent tax you pay yourself just to capture the revenue you've already worked hard to earn.
"Practicing medicine shouldn't mean running a collections and auditing agency."
The Hidden Leakage
$12,000per month
in unpaid claims, write-offs, and administrative delays — before you pay your clinic staff.
20 hrs
wasted per week on coding and billing admin
$150/hr
conservative cost-of-time benchmark
$144K
annualized leak — straight out of clinic margin
Integrations & SolutionsWorks with your existing EHR.
Works with your existing EHR.
Tailored for practices of all sizes.
You don't need to change your electronic records platform. We connect directly to your system to capture billing payloads automatically.
Ep
Epic Systems
Hospital & Large Groups
At
Athenahealth
Cloud Practice Management
eC
eClinicalWorks
Ambulatory EHR & PM
El
Elation Health
Independent Primary Care
Ka
Kareo / Tebra
Solo & Small Practices
We
WebPT
Physical & Rehab Therapy
Solo & Small Care
Solo Practices
Ideal for individual practitioners and specialized clinics looking to offload coding and collections.
- Dedicated certified AAPC biller
- Real-time patient eligibility checks
- Basic prior authorization support
- Direct claim scrubbing & modifiers check
2-10 Providers
Group Practices
Tailored for growing multi-provider practices needing advanced denial recovery and schedule optimization.
- Denial prevention & audit reports
- Aged accounts receivable cleanup
- Patient statement text-to-pay routing
- Prior auth management within 24 hours
Where your 20 hours actually go.
Every hour spent on administrative tasks is an hour stolen from patient care and clinic margin. Let's redirect the flow.
You're doing it
We do it
- 01
Coding & Claim Scrubbing
"I'll check the ICD-10 modifier codes later," then submit and get rejected.
6.5 hrsper week
Recovered - 02
Denial Appeals & AR Follow-ups
Spending 45 minutes on hold with insurance payers to appeal a $120 claim.
5.0 hrsper week
Recovered - 03
Prior Authorization Management
Faxing documentation and chasing insurance approvals before patient visits.
4.0 hrsper week
Recovered - 04
Patient Balance Billing & Copays
Chasing patient balances manually with paper mailers that get ignored.
4.5 hrsper week
Recovered - 05
Patient Care & Clinical Treatments
The real healing work only you and your clinical team can deliver — fully protected.
5.0 hrsper week
Stays with you
What We DoWe sit in the driver's seat.
We sit in the driver's seat.
We don't just hand
you a login.
A fractional revenue cycle team. We construct your billing engine, submit claims, audit collections, and manage patient support. You never learn another piece of complex billing software.
Smart Claim
02●
Aggressive Denial
Appeals.
Denials are logged, routed, and appealed by clinical experts within 48 hours. We fight clearinghouse and payer rejections until resolved.
No unpaid balance left behind
03●
Modern Digital
Patient Billing.
Secure text-to-pay and e-statements replace traditional mailing. Patients pay 4x faster with integrated cards, Apple Pay, and payment plans.
Reduce patient statement delays
04●
Real-time Practice
Analytics Dashboard.
A live financial portal showing collections, charges, days in AR, and top denying codes. Full transparency on every claim's lifecycle.
Instant clinical financial reports
Healthcare Compliance & Integrity
Enterprise-grade HIPAA security.
Data security is not an afterthought in medical billing — it is the foundation. We protect your patients' PHI with strict administrative and network controls.
HIPAA & HITECH Compliant
We sign standard Business Associate Agreements (BAA) with every provider practice. Our network satisfies all DHHS physical, administrative, and technical regulations.
AAPC Certified Coders
All charts and billing modifiers are analyzed by certified AAPC coders. This reduces ICD-10 downcoding, modifier mismatches, and prevents commercial insurance claims rejections.
Encrypted Data Pipelines
Patient demographic and clinical records are protected with 256-bit AES encryption at rest, and secure TLS 1.3 tunnels during clearinghouse transmissions.
Role-Based Audit Trails
Detailed access logs track every clinical database query. Staff access is strictly sandboxed using modern OAuth 2.0 and Multi-Factor Authentication protocols.
Clearinghouse Integrity
Direct secure SFTP tunnels to national clearinghouses (Change Healthcare, Availity) for real-time 837P claim submissions and 835 ERA remittance postings.
98.6% Clean Claim Guarantee
Our billing engine pre-audits modifier combinations, CCI edits, and provider credentials before clearinghouse routing, guaranteeing sub-2% initial rejection rates.
Client Testimonials
Loved by Clinicians & Managers.
See how modern medical groups and independent clinics use Syllavera to optimize billing collections.
"Switching to Syllavera Billing was the single best decision we made for our practice. Our clean claim rate jumped to 98% in under 30 days, and our monthly cash flow has never been more predictable. The denial appeals are solved before we even notice."
Dr. Elizabeth Vance, MD
Founding Pediatrician • Vance Pediatric Partners
+14.2% Cash Flow Lift
"We were losing thousands of dollars every month to CPT modifier coding rejections and aged accounts receivable. The team at Syllavera cleaned up our $85,000 backlog of AR and shortened our average days in AR from 48 down to 26 days."
Marcus Sterling, MBA
Practice Administrator • Orthopedic Specialists of Austin
26 Days Avg in AR
"I didn't open a practice to deal with billing and insurance hold times. Syllavera takes care of the scrubbing, prior authorizations, and patient collections. It gave my staff 20+ hours a week back to focus entirely on patient care."
Dr. Jonathan Reyes, DO
Medical Director • Integrative Health Alliance
+18% Practice Margin
Instant Practice Audit
Get a Free Collections Leakage Audit.
Submit your clinical metrics, and our scrubbers will immediately estimate your practice's billing leakage and recoverable AR. We sign a strict HIPAA compliance agreement before analyzing any actual records.
- ✓Instant calculation of CPT/ICD-10 error leak
- ✓Appeals strategy guide for aged BlueCross & Medicare
- ✓Full HIPAA compliance and secure patient data transfers
Your data is protected. All information submitted is processed securely under standard healthcare privacy regulations.
Frequently Asked Questions
Got Questions? We have answers.
Everything you need to know about our services, integrations, and collections process.
We operate on a pure performance-based model, typically charging between 4% and 7% of net collections depending on your monthly billing volume and specialty. This means we only get paid when you collect. There are no startup fees, setup costs, or locked annual contracts.
Yes. We support direct secure API and HL7/FHIR integrations with all major clinical EHR and practice management platforms, including Epic, eClinicalWorks, Athenahealth, NextGen, WebPT, and Kareo. Your clinical workflow doesn't need to change.
Our automated claim scrubbing engine flags potential coding errors before submission. If a claim is denied, our certified billing specialists appeal it within 48 hours. We handle commercial insurers, Medicare, Medicaid, and workers' comp disputes, appealing until collections are settled.
Absolutely. We sign a standard Business Associate Agreement (BAA) with every clinic. All health data is encrypted in transit and at rest using 256-bit AES encryption. Our workflows are fully compliant with HIPAA, HITECH, and SOC 2 security regulations.
Every coder on our team is certified by the AAPC (American Academy of Professional Coders) with credentials including CPC, COC, or CIC. They receive regular training on yearly ICD-10-CM and CPT code updates to ensure absolute coding accuracy.