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Experts in Range Medical Services

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DME Billing

ESOFTX, Inc. manages DME billing for New York suppliers. We verify coverage, review documentation, submit accurate HCPCS-coded claims, track rentals and resupply, and follow-up on denials so your equipment revenue is paid correctly.

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Out-of-Network Billing

ESOFTX, Inc. manages out-of-network billing for New York practices. We verify OON benefits, submit accurate claims, appeal underpayments, and support No Surprises Act disputes so you get paid fairly for the care you provide.

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Workers’ Compensation Billing

ESOFTX, Inc. manages workers’ compensation billing for New York practices. We verify claim details, file accurate bills with insurance, track payments, and follow-up on denials and delays so injured-worker care gets paid correctly.

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Prior Authorization

ESOFTX, Inc. manages prior authorization for New York practices. We verify requirements, submit complete requests, track payer decisions, and support appeals so patients get timely care and your claims prevent avoidable denials.

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Medical A/R Follow-Up

ESOFTX, Inc. provides consistent, organized A/R follow-up for New York practices. We work on unpaid and aging claims, contact payers, resolve halted accounts, and reduce days in A/R so you collect more of what you have earned.

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Medical Denial Management

ESOFTX, Inc. helps New York practices recover denied revenue. We analyze denial reason, file timely appeals, and fix the root problems behind rejected claims so fewer denials happen and your cash flow stays strong and predictable.

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Medical Payment Posting

ESOFTX, Inc. provides accurate, timely payment posting for New York practices. We post insurance and patient payments, reconcile ERAs and EOBs, flag underpayments, and keep your claim rate clean.

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Medical Claim Submission

ESOFTX, Inc. offers accurate and timely medical claims submission services for medical practices in New York. Our experienced billing team reviews, codes, and submits error-free claims to payers, enabling you to reduce rejections.

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Eligibility Verification

ESOFTX, Inc. offers a precise insurance eligibility verification service for medical practices in New York. We confirm coverage, copays, deductibles, and authorization requirements prior to each visit to prevent denials and protect your revenue.

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HEDIS for Healthcare Providers

ESOFTX, Inc. offers comprehensive HEDIS services, including medical record data extraction, gap identification, quality reporting, and documentation support, to improve performance scores, regulatory compliance, and value-based reimbursement.

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MIPS for Healthcare Providers

ESOFTX, Inc. offers comprehensive MIPS services including quality reporting, performance tracking, data validation, compliance management, and submission assistance to help providers improve their CMS scores and Medicare reimbursements.

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PCMH for Primary Care

ESOFTX, Inc. helps healthcare facilities achieve and maintain PCMH recognition through workflow improvements, quality reporting, documentation support, care coordination, and regulatory compliance solutions.

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Revenue Cycle Management

ESOFTX, Inc. offers comprehensive revenue cycle management services, including patient registration, insurance verification, medical coding, claims management, payment posting, denial management, and accounts receivable recovery.

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Medical Billing and Coding Audit

ESOFTX, Inc. provides comprehensive medical billing and coding audits to improve coding accuracy, reduce claim denials, ensure compliance, identify revenue leakage, and strengthen your revenue cycle performance.

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Virtual Medical Assistant

ESOFTX, Inc. provides HIPAA-compliant Virtual Medical Assistants to handle scheduling, patient communication, insurance verification, EHR updates, billing support, and administrative tasks, helping practices improve efficiency and patient care.

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Professional Medical Coding

ESOFTX, Inc. provides accurate medical coding services using ICD-10-CM, CPT, and HCPCS standards to improve claim accuracy, reduce denials, ensure compliance, and maximize healthcare reimbursements.

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Medical Credentialing & Provider Enrollment

ESOFTX, Inc. provides medical credentialing and provider enrollment services, including CAQH management, payer enrollment, recredentialing, and license verification to help providers maintain compliance and accelerate reimbursements.

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Professional Medical Billing

ESOFTX, Inc. offers end-to-end medical billing services, including insurance verification, claim submission, payment posting, denial management, AR follow-up, and revenue cycle optimization for healthcare providers.

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