SERVICE DATES
ALLOWED AMT
ALLOWED AMT
RENDERING PROVIDER
PA NUMBER
BENE PLAIT
RENDERING PROVIDER
PA NUMBER
BENE PLAIT
RENDERING PROVIDER
PA NUMBER
BENE PLAIT
Every dollar you're owedis written in here.Most practices never read it.
M-HIP turns remittance data into recovered revenue — for California providers.
The number that isn't there.
Billed becomes Allowed becomes Paid. Most practices only look at Paid. We interrogate the gap — every line, every claim, every month.
CO. PR. OA. PI. Four acronyms that decide who pays.
Group codes route every adjustment. We audit contractual write-offs against your real fee schedules — a miskeyed contract silently bleeds 2–4% of revenue.
The 30 codes that cost you the most.
CARC 45, 16, 96, 97, 197, 29 — we don't just resubmit. We trace each one to its root in your intake, coding, or auth workflow so it never recurs.
The payer's footnotes. We read every one.
RARCs like N290, M51, MA130 spell out what to fix. They're the difference between guessing at a denial and answering it.
Root-cause → Auth → Resubmit → Paid.
A CARC 197 denial leaves the document, runs the M-HIP workflow, and lands back as $182.40 paid. This is the work, end to end.
One ERA is a document. A thousand are a map to your money.
99% first-pass acceptance · denials cut 38% · A/R days from 47 → 28 · six-figure annual recoveries for mid-sized CA practices.
Built for California providers.
Medi-Cal, CA-regional payers, state-specific timely-filing windows, and the payer mix from Eureka to San Diego. We work one state. Yours.
Where each service shows up in your ERA.
We don't sell modules. We work the full revenue cycle — and every piece of it leaves a fingerprint on the remittance.
- Medical BillingEvery claim line on the document.Chapter 1 →
- Eligibility VerificationThe PR adjustments that shouldn't exist.Chapter 2 →
- Denial ManagementCARC 197, CO-97, and the rest of the costly reasons.Chapter 3 →
- A/R Follow-upThe gap between Allowed and Paid.Chapter 1 →
- CredentialingWhy a clean claim still gets denied.Chapter 5 →
- Billing AuditsWhat the pattern across 1,000 ERAs reveals.Chapter 6 →
California practices, across the specialties that bill the most.
Notes from the margin.
"They found $61k in mis-keyed CO-45 write-offs in the first quarter. Not a guess — a line-by-line audit against our contracts."
"Our 197 denials went from chronic to almost-zero in 90 days because they fixed the auth workflow upstream."
"A/R days dropped from 51 to 29. Cash flow finally matched the schedule we were actually working."
Send us one ERA. We'll show you what it's hiding.
Three short steps. No software install. California providers only.