Denied claims come back with the fix drafted.
Modulon reads every payer response through Stedi. When a claim is denied, it finds the reason in the chart and drafts the correction for your billing team.
Claims are checked before they leave.
Each claim is checked against the visit note and the payer's rules, so a missing modifier or authorization is caught before it is sent.
- 99213-25Office visit
- 11102Biopsy, first lesion
- 11103-59Biopsy, each additional
Know where every claim stands without calling the payer.
Modulon follows each claim through Stedi and reads the remittance when it is paid, including what the patient owes.
- SentOct 1
- AcceptedOct 2
- Paid $104Oct 5
- Patient share $28Payment link ready
When a payer asks for more, the document is found.
If a payer wants a report, a referral or an itemized bill before deciding, Modulon finds it and attaches it for your team to send.
Blue Cross · Needs info
Marcus Johnson · Excision
Send the pathology report
Found in the chart
- Pathology reportOct 4
- Visit noteOct 1
Ready to send
2 attachments
OHFor Omar Haddad, Billing
Frequently asked questions
No. Your billing team sends every claim. Modulon checks it first and drafts corrections, and your team decides what goes to the payer.
Stedi, for claim status and remittance as well as eligibility. If your claims go through another clearinghouse, tell us which.
Modulon reads the denial reason, checks the chart and drafts a corrected claim or appeal. Your billing team gets it with the reason and the suggested fix.
No. Write-offs and refunds stay with your team.
Something else? Ask us directly.