Waiting on payer enrollment?
We help prepare applications, track outstanding requirements and follow up with payers—so your practice knows where each provider stands and what is needed next.
Medical billing & credentialing for US practices
Get enrolled. Keep revenue moving. Give your practice room to grow.
Afiable Solutions helps healthcare practices navigate payer enrollment, address denied and unpaid claims, and simplify daily billing operations—so your team has more time for patients and practice growth.
Prefer a conversation? +1 (813) 742-6713- EnrollmentPrepare applications and coordinate required practice and provider information.
- BillingConnect documentation, coding and claim submission within the agreed workflow.
- CollectionsReview outstanding claims, denials and the appropriate payer follow-up actions.
- PaymentReview payer responses, post payments and identify remaining balances.
Claims
Submission & Scrubbing
Coding
ICD-10 · CPT · HCPCS
AR
Aging Claim Follow-Up
Denials
Root-Cause Review
Start with the challenge
Where is your practice getting stuck?
Payer delays, unpaid claims and growing workloads can hold a practice back. Find the support that addresses your next bottleneck.
Claims outstanding. Revenue delayed?
Connect claim submission with denial review, corrections and appeals where appropriate. Documented payer follow-up helps your team understand outstanding claims and the next actions to discuss.
Too much work for your billing team?
Supplement your current team with eligibility and authorization support, payment posting, and agreed back-office tasks. Define who handles each step so work can move between teams with fewer unclear handoffs.
The connected revenue cycle
One connected path from enrollment to payment
Each step informs the next. Addressing gaps between enrollment, front-office work and billing helps your practice build a more coordinated process.
01
Payer enrollment
Prepare applications, coordinate required practice and provider information, and follow up on enrollment status.
02
Eligibility & authorization
Review coverage and authorization requirements so the next steps can be planned with the right information.
03
Coding & submission
Connect documentation, coding and claim preparation, with submission through the agreed practice workflow.
04
Posting & follow-up
Post payments, review denials, and work outstanding AR through corrections, appropriate appeals and payer follow-up.
Choose support for the full revenue cycle, or add capacity at the steps where your existing team needs it most.
Built around your next step
Support that fits your stage of growth
Whether you are opening, stabilizing operations or expanding, the starting point is your practice’s priorities.
Starting a practice
Plan payer enrollment and billing workflows together. Identify the information and operational steps needed before your first claims are submitted.
Supporting an existing billing team
Add help where the workload is building up—from posting and outstanding claims to denial review—while keeping responsibilities clear.
Expanding your practice
Coordinate enrollment needs for new providers or locations and review billing capacity as your practice grows. The goal is a smoother operational transition.
Clarity, not guesswork
Know what is moving. Know what needs attention.
Agree on the work to be completed and the information your practice wants to review. Discuss workflow documentation, reporting and access requirements with our team as part of planning your engagement.
- Enrollment status and pending information
- Claims submitted and next steps
- Outstanding accounts receivable
- Denials and follow-up actions
- Work completed and open priorities
Explore the support behind the process
The right services. A connected approach.
Explore individual services, then talk with us about how they fit your practice’s needs.
Medical Billing
Charge entry, scrubbing and electronic submission with a focus on first-pass acceptance.
Explore Medical Billing
Medical Coding
Coding support aligned to ICD-10 and CPT guidelines, focused on reducing denial and audit risk.
Explore Medical Coding
Account Auditing & Consultation
Independent revenue cycle audits and advisory engagements that surface coding, billing and AR leakage with practical, prioritized remediation.
Explore Account Auditing & Consultation
Denial Management
Categorized denial workflows and appeal support focused on recovery opportunities and recurring denial causes.
Explore Denial Management
Credentialing & Contracting
End-to-end payer enrollment, contracting and CAQH maintenance to keep clinicians in-network and billable.
Explore Credentialing & Contracting
Risk Adjustment Coding
Model-specific risk adjustment coding with documentation validation and recapture planning.
Explore Risk Adjustment CodingIndustries We Support
Support for your care setting
Physician Practices
Dedicated billing, coding and AR support tuned to solo and small-group practices — predictable cash flow without the in-house overhead.
Physician Practices
Multi-Specialty Clinics
Specialty-aware coding, unified workflows and department-level reporting across every service line under one tax ID.
Multi-Specialty Clinics
Hospitals
Facility and professional-fee billing aligned to OPPS, with structured denial management and contract underpayment recovery.
Hospital medical billing & RCM
Behavioral Health Providers
Session-based CPT coding, authorization lifecycle management and parity-law appeals for psychiatry, psychology and SUD programs.
Behavioral Health Providers
Home Health Agencies
OASIS-aligned PDGM episode billing, NOA timely filing and Medicare Advantage authorization workflows.
Home Health Agencies
Skilled Nursing Facilities
PDPM-aware coding, dual Part A and Part B billing, and Medicaid long-term care AR management.
Skilled Nursing FacilitiesRegional practice resources
Before we begin
A few practical questions.
Can you work with our existing billing system?
We begin by discussing your current EHR, practice management system and clearinghouse. Together, we review what can be supported within your existing workflow and what access or coordination would be needed.
Do we need full-service billing, or can you back up our team?
Either can be discussed. Support may cover an agreed billing workflow or specific tasks that supplement your current team. We clarify responsibilities, scope and communication before work begins.
What does payer enrollment depend on?
Enrollment depends on payer requirements and decisions, complete practice and provider information, and any additional documentation requested. We can help with preparation and follow-up; payer approvals and timelines are not guaranteed.
How do we get started without sharing patient data?
Contact us with your specialty, current systems and the operational challenges you want to discuss. Please do not include patient names, records or other protected health information in the website form or chat. Any data access requirements can be discussed separately.
Let’s talk about what your practice needs next.
Start with your goals, your current workflow and where your team needs support.