Multi-location groups lose money in the gaps between sites: a payer rule applied in the wrong state, a denial that belongs to a location nobody reports on, a claim that aged out while two offices each assumed the other had it. A-Z was built inside a four-location practice to close those gaps. This page answers what an administrator asks before the first call.
| Location | Open A/R | Crossing 60 | Cleared, cash | Write-off |
|---|---|---|---|---|
| Site A | $612,400 | $18,200 | $31,900 | $4,100 |
| Site B | $488,100 | $9,700 | $27,300 | $2,800 |
| Site C | $701,900 | $31,400 | $19,600 | $8,900 |
| Site D | $337,900 | $6,100 | $12,400 | $1,300 |
Layout from the live Vally Medical Group dashboard. Cleared is balance that came down between weekly snapshots. Real figures are shown in a demo, not on a marketing page.
The things a practice administrator needs settled before a vendor conversation is worth having.
Yes. Each location keeps its own TIN, NPI set and payer enrollments. Reporting rolls up to the group and drills down to the site and the provider. One dashboard, not one login per clinic.
Your state's. Prompt-pay statutes, timely filing windows and Medicaid MCO behavior differ by state and by plan. We build the rule set for your payer mix during onboarding and it lives in the scrubber, not in someone's memory. Our founder is a licensed physician in Hawaii, with Nevada licensure in progress.
Nothing, if it is done in the right order. We run in parallel with your current process: existing claims keep flowing through the old channel while we take over new submissions, and cutover happens when the two reconcile, not on a calendar date. The three phases are below.
We work in your system, not ours. The billing team has worked claims in the ones below, and claims go out through Waystar or your existing clearinghouse. A system that is not on this list is not a no. Send the form and we will tell you on the first call what the ramp looks like.
Ryan Harwood, Operations, with a cell phone number, from day one. First calls with qualifying groups include Dr. Zain Vally, the physician who founded A-Z and runs the four-location practice it was built for. Not a ticket queue, and not an account manager juggling forty practices.
Three phases, each with a gate. Nothing moves to the next phase until the numbers say it should.
Before a single claim moves, we index every carrier document you have, match each to its claim, and reconcile encounters to claims for the trailing 24 months. You get a written report of what is owed, what is expiring, and what was never billed. Your current process keeps running untouched.
We take new submissions while your existing A/R keeps working through the old channel. Regular reconciliation between the two. Nothing is cut over until the dashboard and your bank deposits agree.
Full transition. We start working the aged inventory found in month one under your state's rules. The daily digest goes live for your administrator and each location lead.
Most vendors send a monthly PDF for the whole group. You need to know which site is bleeding this week.
| Location | Open A/R | Crossing 60 | Cleared, cash | Write-off |
|---|---|---|---|---|
| Site A | $612,400 | $18,200 | $31,900 | $4,100 |
| Site B | $488,100 | $9,700 | $27,300 | $2,800 |
| Site C | $701,900 | $31,400 | $19,600 | $8,900 |
| Site D | $337,900 | $6,100 | $12,400 | $1,300 |
Layout from the live Vally Medical Group dashboard. Cleared is balance that came down between weekly snapshots. Real figures are shown in a demo, not on a marketing page.
Cleared is balance that came down between weekly snapshots. Aged is the part from claims over 180 days old, which do not resolve on their own. Both are shown, split between cash and write-off, by location and by provider, so you know which site needs attention this week rather than which site had a bad quarter.
Vally Medical Group founded A-Z six years ago to run its own billing. Four locations, six years of claims, and two archives of carrier correspondence nobody had read end to end. This is what the system surfaced in its first month.
Every carrier letter, EOB and denial catalogued and matched to its claim, with each decision traceable to the source text.
Claims billed and never answered, verified against the documents rather than inferred from an aging report. Each one now sits on a clock with a named person responsible.
Every encounter checked against a claim. No systematic unbilled care, no diverted payments, and proof of both instead of an assumption.
Claims crossing 45 and 60 days, deadlines closing this week, and what cleared yesterday split between cash and write-off, by location.
I've hired billing companies. What I got back was a PDF once a month. What I have now is a list of the claims that expire this week, and someone whose job it is to stop that.
Dr. Zain Vally, Vally Medical GroupDr. Vally takes reference calls from qualifying multi-location groups. Ask on the first call.
Get Your Free Revenue Leak AnalysisWe are paid a percentage of what you collect, so an unworked claim costs us too. The rate is set by monthly volume and specialty mix and put in writing before anything starts. Groups over $5M are quoted on their location mix rather than a flat percentage.
Send the form regardless of size. The free analysis is worth having whether or not we end up as your billing company, and if a group is larger than we can serve well, we say so on the first call rather than learn it on your account.
No. We work in yours. Claims are submitted through Waystar or your existing clearinghouse.
Yes. The month-one forensic pass and the aged inventory work are available as a standalone engagement. Some groups start there and decide about ongoing billing after they have seen the report.
An aging report and a claims export from your practice management system, and a 20-minute call to confirm payer mix. A signed BAA comes first, before anything is sent.
You do. If you leave, you receive a full export of the document index and claim history we built on your account. Dashboard access ends with the engagement.
On net collections posted, monthly, with a line-item statement. Not on charges and not on gross.
Yes. A BAA is on file before onboarding, and the team is US-based only.
Las Vegas, Nevada, serving physician groups nationwide. Founded by a physician who operates a four-location practice in Hawaii.
Send the basics and a practice management export. You get a written preliminary with the dollar figure, by location. No call required to receive it.
Most administrators use it to fix their in-house process. Some hire us. Either is fine.
Your preliminary analysis will be in your inbox within 48 hours. As a multi-location practice, expect a note from us within one business day.
