Primary care billing
Billing that keeps up with a full schedule.
Family medicine and primary care practices see high volume with thin margins per visit. Getting preventive, chronic care and problem visits billed correctly is what protects the month.
What makes it different
Many visit types, many rules.
A single day can include a wellness visit, two chronic care follow-ups, a same-day acute visit and a vaccine administration — each with its own coverage and frequency rules.
- Preventive versus problem-oriented visits
- Annual wellness visit requirements
- Chronic care and care management services
- Immunizations and administration codes
- Same-day service combinations
- In-office labs and point-of-care testing
Common denial drivers
Where primary care revenue gets stuck.
Preventive + problem same day
Both services are provided but only one gets paid because the documentation and modifiers don't separate them.
Frequency limits
A screening or wellness visit is billed sooner than the payer allows and is denied outright.
Coverage changes
Plans change at the start of the year and unverified eligibility turns into avoidable denials.
Support & credentialing
Keep the front office from drowning.
Primary care runs on phones, refills, forms and scheduling. Virtual assistants and administrative support absorb that load, while credentialing keeps every provider on the right panels.
- Credentialing for physicians, NPs and PAs
- Eligibility checks before visits
- Scheduling and reminder support
- Records and forms requests
- Referral coordination support
- Documentation support through scribing
Growth
Panel growth in your own neighborhood.
Primary care is chosen locally, and often for a whole family at once. We work on local search, an accurate Google profile, and a site where a new patient can register and book without calling during office hours.
Client dashboard
Know where the month stands.
Claims, denials, AR aging and credentialing progress in one place, whenever you want to check. Views shown here are examples.
Your Billsen dashboard
What we're working on right now
Billing
On track
Credentialing
3 in progress
Tasks for you
1 open
Claims submitted this week
Up to dateDenials being worked
In progressCredentialing — Aetna
Waiting on payer
Updated as your Billsen team works. No status calls needed.
FAQ
Primary care questions.
Free billing review
Find out what your billing is leaving behind.
Tell us your specialty, how many providers you have and who handles your billing today. We will review your denials, unpaid claims and credentialing status and send you a written summary at no cost.
