Built For The Medicare Advantage Landscape
We specialize in the reimbursement environment that matters most to clinics serving senior populations. Our billing infrastructure is purpose-built for Medicare Advantage coding, documentation standards, and appeals processes.
Medicare Advantage Payers We Support
Our billing team maintains active credentialing and direct relationships with these major Medicare Advantage plans.
Aetna
Medicare AdvantageCarePlus
Medicare AdvantageCigna
Medicare AdvantageHealthSun
Medicare AdvantageHumana
Medicare AdvantagePreferred
Medicare AdvantageSimply
Medicare AdvantageSolis
Medicare AdvantageImportant Disclaimer
Coverage depends on plan eligibility and clinical requirements. Our billing team verifies patient benefits and authorization requirements prior to initial treatment. Individual plan benefits, deductibles, and copay structures vary by contract.
Coverage Areas
Chronic Low Back Pain
CMS-approved coverage under Medicare Advantage for persistent lower back pain management when conventional treatments have been insufficient.
Prior Authorization Support
Our billing team handles all prior authorization workflows, documentation requirements, and appeals directly with payer networks.
HEDIS & STAR Measures
Acupuncture integration supports pain management quality metrics valued by Medicare Advantage plans, contributing to plan performance ratings.
Commercial Payer Coordination
Beyond Medicare Advantage, we maintain active credentialing and claims management with major commercial insurance networks.