Simple Billing Services provides medical billing, coding, and advocacy support tailored to the needs of providers and families navigating today’s complex insurance landscape. Our services are flexible, compliance-aware, and designed to support accurate reimbursement and informed decision-making.

Medical Billing Support

We handle claims submission, coding accuracy, follow-ups, and resubmissions – so you receive proper reimbursement without the administrative burden.

  • Claims submission and follow-up
  • Payment posting and EOB review
  • Denial identification, resolution and appeals
  • Underpayment analysis
  • Billing corrections and resubmissions

Medical Coding Review

Accurate coding is essential for compliant billing and appropriate reimbursement. We review medical records to support correct CPT and ICD-10 coding.

  • CPT and ICD-10 coding review
  • Documentation consistency checks
  • Coding accuracy support
  • Claim edit and correction guidance

Provider Consulting & Administration

We provide consultation services for providers seeking guidance on billing operations, workflows, and administrative processes.

  • Billing workflow review
  • Claims submission guidance
  • Administrative process support
  • Revenue cycle organization
  • Compliance-aware recommendations

Out-of-Network (OON) Claims & Appeals

Denied or underpaid? We prepare and submit detailed appeals backed by clinical documentation, payer policies, and regulatory requirements. Out-of-network billing can be confusing and inconsistent. We help providers and families understand benefits, review EOBs, and navigate reimbursement challenges.

  • OON benefits verification
  • EOB and allowed amount review
  • Appeal and reconsideration support
  • Underpayment identification
  • Family and provider advocacy support (with authorization)

Education & Instruction

As a certified medical biller and coding instructor, we provide CPB/CPC exam preparation classes, review sessions, CPT & ICD-10 coding review, and one-on-one student consultations to help you launch your career.

  • AAPC CPC and CPB instruction
  • Student review and exam preparation
  • Billing and coding education sessions
  • Practical, real-world instruction

Credentialing, Enrollment & Contracting

Successfully working with insurance requires more than submitting claims. From initial applications to ongoing maintenance, we manage your credentialing and enrollment with insurance payers and networks. Credentialing, enrollment, and contracting are distinct stages that determine whether providers can bill, be paid correctly, and remain compliant.

Patient & Family Advocacy Services

Navigating a denied claim or confusing bill? We stand beside families to help understand, appeal, and resolve billing issues.

Insurance Benefit Analysis & Advocacy

We review your insurance plan, explain your benefits in plain language, and advocate for the coverage you’re entitled to.

Compliance-Focused Documentation Guidance

We help ensure your clinical documentation supports medical necessity, meets payer requirements, and reduces audit risk.

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