Evaluate an AI billing company by what its technology does and who finishes unresolved work. Ask who reviews outputs, contacts payers, approves actions, and verifies payment; a detected issue, drafted appeal, and resolved claim are different deliverables.
Compare PT billing services by the work they take on, specialty and payer fit, EMR compatibility, reporting, and ownership of unresolved claims. This guide compares five providers’ published service models; it is a Brace Health-authored shortlist, not an independent ranking.
When claims reject because a provider is not contracted, verify directly with the payer whether the contract was finalized, confirm its effective date, and identify affected claims. In a Blue Cross Blue Shield of Massachusetts case, we found that a contract believed complete had not been finalized; the payer later offered a temporary backdating path for a separate set of older claims.
A solo dietitian should compare billing vendors on the work they actually own, specialty and payer familiarity, communication cadence, exception handling, reporting, fees, and transition terms. Get responsibilities and exclusions in writing, and ask how the vendor handles a difficult claim—not only routine submissions.
Choose the next step for a therapy claim from its actual status, payer response, and submission history. Correct inaccurate data, follow the required submission route, challenge a decision through the appropriate review process, or seek clarification when the evidence is incomplete.