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PLATINUM BILLING & RCM · REVENUE

Get paid faster, with fewer denials.

Clean-claim scrubbing, denial tracking and automated posting — your revenue cycle, handled end to end.

Scrubbing, submission and posting in one place 97% clean-claim rate 2× faster payments 30% fewer denials
Denial prevented ERA posted
SEE IT IN ACTION

Your revenue cycle, in one view.

From charge to payment — claims, denials and posting in a single workspace, with AI catching problems before they cost you.

  • Clean-claim scrubbing before submission
  • Denials tracked and easy to work
  • Billing details linked to the service line
  • Automated eligibility verification
  • Automated claims submission and remit posting
  • Claim status in plain language — with the next action attached
  • Automated Medicare modifiers according to ABN and medical necessity
The Services panel on the chart — CPT codes with modifiers, ICD-10 pointers and fees, with Automatic Billing switched on.
Real screen — the charge as it starts: CPT lines fill on the chart with Automatic Billing on, so the claim needs nothing re-keyed.
The patient financial panel — patient, insurance and total balances, active insurance coverage with deductible and coverage figures, and the financial plan.
Real screen — the same money a moment later: patient, insurance and total balances with live coverage, one panel over from the schedule.
THE WHOLE REVENUE CYCLE

Everything from charge to paid.

A complete revenue-cycle workspace built for chiropractic billing — not a generic clearinghouse bolt-on.

Eligibility & benefits

Insurance eligibility is verified before the visit — and re-verified automatically on the cadence you set, by appointment type.

What it means: coverage surprises get caught before the visit, every time.

Charge capture & coding

Services and codes are captured at the point of care, ready to bill.

What it means: nothing slips between the visit and the claim.

Clean-claim scrubbing

Every claim is checked against payer rules before it goes out.

What it means: first-pass acceptance goes up and rework goes down.

Claim generation & submission

Clean claims are built from the chart and sent electronically in a batch.

What it means: less manual keying and faster submission.

Denial tracking & appeals

Denials are explicit and easy to manage from the service line.

What it means: our IBS team fixes claims instead of you researching them.

Automated ERA posting

Payments post to the ledger automatically from remittances. Coverages are placed on hold if denied.

What it means: hours of manual posting disappear, and nothing wrong posts quietly.

A/R follow-up

Aging balances are tracked and worked so nothing sits uncollected.

What it means: fewer dollars stuck in aging buckets.

Patient billing & balance

Patient billing procedure added to the transaction ledger according to the benefits.

What it means: patient balance is always accurate.

Revenue reporting

See collections, A/R and denial trends in real time.

What it means: know exactly where revenue is and where it’s stuck.

Claim attachments (PWK)

Electronic claim attachments and PWK documentation go out with the claim — without faxing, and without leaving Platinum.

What it means: documentation requests stop stalling payment.

Secondary & tertiary payers

Primary, secondary and tertiary payer workflows run natively — remaining balances transfer automatically between insurance and patient responsibility.

What it means: no manual ledger surgery on multi-payer claims.

Authorization alerts

Staff are alerted before treatment when an authorization is missing, expired or nearly exhausted — and patient responsibility is estimated before checkout.

What it means: the visit is billable before it happens, not after.

Charge capture from the note

Charges generate automatically from the signed note and the completed treatment — and scheduled, documented, performed and billed services are reconciled so nothing goes unbilled.

What it means: the care you delivered is the care you billed.

One ledger, fully auditable

Every claim, denial and EOB is linked to its transaction, in a single understandable ledger — charges, payments, insurance, adjustments and balances together — with an audit trail on every charge, edit, submission, payment, write-off, adjustment, balance, ICD-10 codes, modifiers, diagnosis pointers, treatment plans and SOAP notes together.

What it means: any balance explained in seconds, and audits stop being archaeology.
AI & AUTOMATION, BUILT IN

The claim fixes itself before it fails.

AI works the revenue cycle in the background so your team stops firefighting rejections.

A billing team member working at the front office.
The work that used to be a stack of rejections on somebody’s desk now happens before the claim goes out.

Denial prevention

AI flags issues before submission, not after rejection.

Code suggestions

ICD-10 / CPT suggested from the chart and checked against payer rules.

Auto-posting

Remittances reconcile and post without touching a spreadsheet.

Live claim status

Status pulls automatically from the clearinghouse and the payer — and displays in plain language, with the next required action.

Notes that defend the claim

SOAP notes and related documentation such as Oswestry, Back Bournemouth questionnaires and other required information can be sent with the claim to document the visit.

Your team stops working rejections after the fact. The claim is fixed while it can still go out clean.

Explore the AI layer
HOW IT WORKS

Three steps from visit to paid.

  1. Scrub the claim

    Claims are checked against payer rules automatically.

  2. Submit the claim

    Clean claims go out electronically in a batch.

  3. Post the payment

    ERAs post automatically; denials route for fast appeal.

ONE CONNECTED SYSTEM

Billing connects to everything.

A signed note becomes a clean claim — automatically — and the money flows back to the ledger.

EHR

Signed notes become coded claims with no re-entry.

Scheduling (PMS)

Visit and eligibility data feed each claim.

Payments

Patient balances and card payments reconcile here.

Analytics

Every claim feeds revenue and A/R dashboards.

Patient App

Statements and balances reach the patient’s pocket.

PAYMENTS, BUILT IN

Billing and payments, one system.

Every charge and patient payment lives in the same platform as the claim — no separate gateway, no re-keying.

Payment processing

Accept credit, debit and ACH from patients at the point of service or online.

Recurring plans

Automate payment plans for treatment packages, with installment schedules and predictable revenue.

Tokenization & security

PCI DSS-compliant storage; tokenization means card data is never stored on your systems.

Dual pricing

Offer cash / debit and credit-card pricing to cover processing fees transparently.

WHAT YOU STOP MANAGING

Three vendors, or one system.

Most clinics run a clearinghouse, an EHR and a merchant account side by side. Platinum runs all three jobs in the same platform.

Clearinghouse + EHR + merchant account
  • Charges are re-keyed from the chart into a separate billing tool.
  • Rejections come back in the clearinghouse portal, away from the note that caused them.
  • Remittances post by hand, or by spreadsheet.
  • Card payments settle with a processor that never sees the claim.
  • Three support lines when something breaks.
One Platinum platform
  • A signed note becomes a coded claim with no re-entry.
  • Denials are flagged, categorized and routed next to the visit they came from.
  • ERAs post to the ledger automatically.
  • Patient payments reconcile against the same claim.
  • One team to call.
THE RESULTS

When billing is connected, the numbers change.

When billing, documentation, front desk and patient flow live in one system, the revenue cycle stops leaking — cleaner claims go out faster, denials drop, and collections improve.

97%
Clean claim rate

Claims built from visit notes go out right the first time.

14 days
Average days to payment

From claim submission to payment posted.

50%
Less time on denials

AI scrubbing catches errors before submission.

+29%
Higher time-of-service collections

Patients pay at the front desk, not weeks later.

0
Manual data re-entry

Documentation flows straight into claims.

100%
Claim-to-documentation traceability

Every claim links back to its visit note.

BEFORE YOU SWITCH

Questions practices ask us.

The practical ones — contracts, migration, support and what actually gets counted.

Yes — and it’s the same workflow either way. Run the billing software with your own team, bring in Platinum RCM services, or mix the two: internal billers and Platinum specialists work the same queues with the same visibility.

Yes. A consolidated dashboard covers every location, work queues span clinics, and A/R breaks down by payer, clinic, provider and owner.

No. Guided onboarding and data-migration help are included with every tier — there are no setup fees or implementation charges. See the pricing page for what each tier covers.

Open balances and in-flight claims migrate with your patient records, so aging keeps being worked instead of restarting. We agree the cut-over date with you first and run both sides until the last legacy claim clears.

Denials are flagged, categorized and routed automatically, so your team sees exactly what is stuck and why. Chiropractic billing specialists work appeals and payer follow-up alongside you.

Every tier includes our support team; higher tiers add priority response and a dedicated account manager. Day-to-day questions go to support, and billing-specific issues route to the RCM team.

INSIDE THE CLINIC

Real practices, real people.

Billing shouldn’t mean a desk stacked with rejections. When claims go out clean the first time, your billing team spends the day collecting revenue — not rewriting paperwork.

A billing team member working through claims on a laptop.

“Hiring Platinum to do our billing ended up being the best business move I’ve made in my office.”

Dr. Jeffery Schels Advanced Chiropractic · TX

“Incredible company to work with for your billing needs. I cannot say enough good things about them.”

John S. Client

“Platinum brought me peace of mind and saved not only man hours, but also those middle of the night ‘freak out’ moments.”

Dr. Josh Bonine South Texas Spine and Knee
STOP LEAVING MONEY ON THE TABLE

Send the claim clean the first time.

See Platinum Billing & RCM run a real claim run — scrubbing, submission, denial work and posting, end to end.

HIPAA compliant SOC 2 Built for chiropractic