Trix Billing runs the financial engine behind your practice or facility — from payer credentialing to final payment posting — so your team can focus on patient care instead of claim status.
Institutional · UB-04 · Adjudicated
Credentialing · In progress
Professional · CMS-1500
Facility claims and provider claims follow different rules, forms, and payer edits. We staff each discipline separately so nothing gets billed by generalists guessing at the difference.
For hospitals, ASCs, SNFs, and other facilities billing under a facility NPI and revenue codes.
For physicians, groups, and allied health providers billing under an individual or group NPI.
Credentialing and contracting sit alongside billing operations, not outsourced separately — so enrollment status and claim submission always stay in sync.
Payer enrollment, CAQH maintenance, re-credentialing, and contract negotiation support.
Real-time insurance verification before the patient is seen, to prevent avoidable denials.
Accurate CPT, ICD-10, and HCPCS coding with pre-submission compliance review.
Clean-claim scrubbing and electronic submission across commercial and government payers.
ERA/EOB posting with variance flagging against contracted allowed amounts.
Root-cause denial tracking with timely appeals to recover what's owed.
Aged-claim recovery worked on a fixed cadence, not left to age past timely filing.
Clear statements and a responsive patient billing line to reduce disputes and delays.
Each claim moves through the same five checkpoints, whether it's a facility claim or a physician claim.
Providers and facilities are enrolled and contracted with target payers before billing begins.
Coverage and benefits are confirmed ahead of each visit to avoid coverage-related denials.
Charges are coded, scrubbed against payer edits, and submitted as clean claims.
Remittances are posted and checked against contracted rates for underpayment.
Denials and aged balances are worked until resolved, not written off by default.
The people who enroll you with a payer are the same team billing that payer — no handoff gaps.
Facility and provider claims are staffed and reported on separately, matched to each rule set.
Claim status, denial reasons, and AR aging are visible on request, not buried in a monthly PDF.
Tell us about your practice or facility needs and our team will get in touch with a customized quote and service proposal — no obligation.