Guide

Insurance Billing

837/835 basics, common denial classes, ERA posting, and appeals framing for therapy practices.

Insurance billing guide

Flow overview

  1. Intake & eligibility captured in the chart
  2. Documentation, coding & scrubber checks
  3. Route claim: direct‑to‑payer where eligible; clearinghouse fallback
  4. Status sync & ERA auto‑posting
  5. Appeals & secondary as needed

Common denial classes

Appeals framing

Be specific, attach relevant documentation, and reference policy language. Track outcomes and time‑to‑resolution.

Education only; not billing, coding, or legal advice. Follow payer and regulatory rules.
Talk to Billing Direct‑to‑Payer Explained