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Our Solutions

We help optimize revenue cycle operations, administrative workflows, care coordination, and clinical research — operating as a seamless extension of your organization.

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Revenue Cycle Management

Revenue performance is the financial backbone of every healthcare organization. Increasing claim complexity, regulatory changes, staffing shortages, and payer scrutiny require a structured and disciplined revenue cycle approach.

Erigo Healthcare Solutions delivers end-to-end revenue cycle services designed to strengthen financial stability while maintaining compliance and accuracy. Our teams operate as an extension of your organization, improving workflows across front-end, mid-cycle, and back-end functions.

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What We Focus On

  • check_circleAccuracy at the first point of data capture
  • check_circleReduction in preventable denials
  • check_circleFaster reimbursement cycles
  • check_circleTransparent reporting and accountability
  • check_circleContinuous process optimization
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Measurable Outcomes

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Improved Clean Claim Rate

Ensuring first-pass acceptance

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Reduced Days in A/R

Accelerating cash flow

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Higher Net Collection %

Maximizing revenue capture

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Reduced Write-offs

Minimizing revenue leakage

Comprehensive RCM Services

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1.1 — End-to-End RCM

Complete patient financial journey management — from scheduling through final payment reconciliation. We implement standardized workflows, quality checkpoints, and performance monitoring across all revenue cycle stages.

We identify revenue leakage points and implement corrective measures supported by analytics. Our approach emphasizes prevention over correction — organizations experience improved revenue predictability, better operational efficiency, and reduced administrative burden.

Scope of Services

  • Patient demographic verification
  • Insurance validation
  • Charge entry and reconciliation
  • Medical coding and documentation review
  • Claims submission
  • Denial tracking and appeals
  • Payment posting
  • Accounts receivable follow-up
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1.2 — Patient Access

The accuracy of front-end processes determines downstream financial success. Errors during registration or authorization can significantly increase denials. Erigo strengthens patient access operations through structured workflows and real-time verification processes.

Services Include

  • Insurance eligibility verification
  • Benefits investigation
  • Prior authorization initiation
  • Financial counseling support
  • Pre-registration review
  • Appointment scheduling assistance

Operational Benefits

  • Reduced registration errors
  • Fewer front-end denials
  • Improved patient financial transparency
  • Increased point-of-service collections
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1.3 — Mid-Revenue Cycle

Mid-cycle processes ensure clinical documentation supports compliant and optimized reimbursement. We reduce compliance risks and enhance reimbursement alignment.

Services

  • Clinical documentation improvement support
  • Medical coding services
  • Coding audits and quality review
  • Charge capture validation
  • Revenue integrity analysis

Value Delivered

  • Improved coding accuracy
  • Reduced compliance risks
  • Enhanced reimbursement alignment
  • Minimized audit exposure
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1.4 — Business Office

Our Business Office services focus on post-claim financial performance to accelerate cash flow and lower bad debt. We provide structured denial prevention strategies.

Services

  • Accounts receivable management
  • Denial analysis and appeals
  • Underpayment identification
  • Payer correspondence handling
  • Patient billing and collections support

Results

  • Accelerated cash flow
  • Lower bad debt
  • Improved collection rates
  • Structured denial prevention strategy
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Care Coordination

Effective care coordination improves outcomes, reduces avoidable utilization, and strengthens patient engagement. Erigo supports healthcare organizations with structured communication models that enhance patient connectivity throughout the care journey.

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2.1 — Phone & Message Triage

Efficient triage ensures patients receive timely and appropriate care guidance, preventing unnecessary visits and improving overall throughput.

Services

  • Symptom triage documentation
  • Appointment prioritization support
  • Provider message routing
  • Call documentation within EMR workflows

Outcomes

  • Improved response times
  • Reduced unnecessary visits
  • Enhanced patient satisfaction
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2.2 — Customer Contact Center

Our healthcare-focused contact center delivers structured, compliant patient and member engagement across all communication channels.

Services

  • Appointment reminders
  • Follow-up calls
  • Payment reminder outreach
  • Member inquiry handling
  • Multichannel communication support

Benefits

  • Reduced no-show rates
  • Improved communication consistency
  • Stronger patient retention
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2.3 — Remote Patient Management

Remote patient engagement supports chronic care management and ensures follow-up adherence for patients outside the clinical setting.

Services

  • Outreach for care gap closure
  • Monitoring support coordination
  • Post-discharge follow-up calls
  • Medication adherence reminders

Impact

  • Lower readmission rates
  • Improved continuity of care
  • Increased patient accountability
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Health Data Curation

Accurate healthcare data supports research, compliance, analytics, and innovation. Erigo delivers structured clinical data management services tailored to life sciences, providers, and payers.

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3.1 — Clinical Trial Data Solutions

We support clinical research through precise data abstraction and quality review, ensuring protocol adherence and data integrity throughout your study lifecycle.

Services

  • Chart abstraction
  • Data validation
  • Case report form review
  • Protocol compliance checks

Value

  • Faster study timelines
  • High-quality regulatory submission support
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3.2 — Real-World Data Curation

Real-world evidence supports outcome analysis and market access strategies. We structure messy clinical data into usable, standardized datasets ready for high-impact analysis.

Services

  • Data extraction from clinical records
  • Standardized dataset creation
  • Quality audits
  • Structured reporting
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3.3 — AI/ML Model Validation & Enablement

We support healthcare AI initiatives by validating data integrity and annotation accuracy to ensure models are trained on ground truth clinical data.

Services

  • Clinical data labeling
  • Model validation review
  • Bias and accuracy assessment
  • Quality benchmarking
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3.4 — Registry Data Management

Registries require ongoing data accuracy and governance. We manage the full lifecycle of registry data entry and maintenance for continuous compliance.

Services

  • Data abstraction
  • Longitudinal tracking
  • Data quality audits
  • Reporting and analytics support
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Payer Operations

Erigo supports health plans with administrative and clinical operational services — enabling payers to manage costs, improve quality, and meet regulatory requirements more efficiently.

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4.1 — Value-Based Care

Value-based models require accurate documentation and risk management. Erigo provides the expertise to navigate complex value-based arrangements and improve quality scores.

Services

  • Risk adjustment chart review
  • HCC coding validation
  • Quality measure support
  • Data reconciliation
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4.2 — Provider & Member Engagement

Strengthening the connection between health plans, providers, and members through structured outreach and data integrity programs.

Services

  • Provider onboarding support
  • Member outreach
  • Network data validation
  • Provider communication coordination
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4.3 — Administrative Support

Handling the administrative burden associated with claims review, appeals, grievances, and credentialing so your team can focus on strategic priorities.

Services

  • Claims review assistance
  • Grievance handling support
  • Appeals coordination
  • Credentialing documentation processing
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Drug Access & Affordability

Access to medication requires structured coordination across payers, providers, and patients. Erigo provides support services that simplify enrollment, verification, and financial assistance workflows — removing barriers between patients and the treatments they need.

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5.1 — Member Enrollment

Streamlining the intake and enrollment process to ensure eligible patients are enrolled quickly and accurately into the programs they need.

Services

  • Intake processing
  • Documentation verification
  • Program eligibility validation
  • Case tracking
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5.2 — Benefit Verification

Confirming coverage details and estimating out-of-pocket costs to empower patients with the financial information they need before treatment.

Services

  • Coverage confirmation
  • Plan analysis
  • Out-of-pocket cost estimation
  • Benefit explanation support
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5.3 — Prior Authorization

Managing the full prior authorization process to reduce delays and ensure patients receive timely access to prescribed treatments.

Services

  • Authorization submission
  • Documentation coordination
  • Status follow-up
  • Appeal preparation support
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5.4 — Patient Co-Pay Assistance

Helping patients navigate financial assistance programs and co-pay support options so cost never becomes a barrier to necessary treatment.

Services

  • Financial eligibility review
  • Co-pay program coordination
  • Payment processing support
  • Ongoing case management

Ready to Get Started?

Contact us today to discuss which solution is right for your organization.

Contact Our Team