Revmedics leads the industry with advanced technology and expert professionals, delivering streamlined RCM solutions and outstanding results.
Monday - Friday:9am - 5pm
Saturday:Closed
Sunday: Closed
At Revmedics, we help providers maximize reimbursements from out-of-network claims by navigating complex payer rules with accuracy and strategy. Whether you’re opting out by design or due to coverage gaps, we ensure you get paid what you deserve without unnecessary delays or write-offs.
We manage the entire OON billing lifecycle from benefit verification to claim negotiationwhile keeping your collections compliant and optimized.
We confirm out-of-network coverage, deductible status, and reimbursement potential before services are rendered.
Our certified coders ensure CPT, ICD-10, and modifiers are properly aligned to meet payer rules.
We review usual, customary, and reasonable rates to set defensible and optimized charges.
We pursue underpaid claims and appeal low reimbursements on your behalf.
We help explain OON balances to patients to improve payment rates and reduce disputes.
Out-of-network billing requires precision, persistence, and payer-specific strategies. Revmedics helps you recover more without compromising compliance or patient trust.
We turn OON billing into a growth strategy with smart systems and skilled recovery support.
At Revmedics, we believe out-of-network doesn’t mean out of options. Our billing experts help providers get paid fairly and fast while staying fully compliant. Whether you’re expanding into new markets or optimizing niche services, we turn OON claims into a reliable revenue stream.
Out-of-network billing involves working with payers without a direct contract, which means payments are based on usual & customary rates rather than negotiated fees. This requires additional verification, negotiation, and appeals which we manage end-to-end to protect your revenue.
Yes. Our team specializes in negotiating low reimbursements by presenting clinical documentation, UCR analysis, and payer precedent to secure higher payments.
Absolutely. We provide patient-friendly communication that explains coverage, balances, and next steps improving transparency and reducing billing disputes.