EZ MD Solutions offers Medical Billing Services Colorado practices trust, supporting solo providers, specialty groups, and multi-location health systems with clean claims and steady revenue collection.
Colorado practices deal with Health First Colorado (the state Medicaid program), Child Health Plan Plus (CHP+), and Regional Accountable Entities (RAEs), and each of these sets its own rules that can shift by county and region. Many practices submit claims without the paperwork a plan needs, miss underpayments buried in remittance data, or let balances sit unpaid for months simply because no one follows up.
EZ MD Solutions assigns a Colorado-trained billing specialist to your account who owns every claim from submission to final payment, so you can recover the money you’re owed without hiring more staff.
EZ MD Solutions provide medical billing Colorado practices need at every stage of the billing cycle. Our core services include the following:
Our team learns the specific rules each Colorado payer uses, including Health First Colorado and local commercial carriers, and formats every claim to match what that payer expects. This keeps our acceptance rate high and prevents delays caused by simple, avoidable rejections.
We confirm each patient's insurance coverage before their visit and secure any approvals a procedure or test requires ahead of time. This step helps you avoid coverage problems and denials that are far harder to fix once care has already been given.
Our certified coders read each provider's notes closely and match every code to what the chart actually supports. This catches missed charges that lower your payment and flags gaps that could otherwise trigger an audit.
We treat every denied claim as a problem we can solve rather than a loss we accept. Our team tracks down the exact reason for the denial, gathers the right records, writes a formal appeal, and stays on the case until the payer reaches a final decision.
Our collections team follows up on open balances on a set, repeating schedule, focusing first on your highest-value claims to protect the bulk of your revenue while keeping smaller balances from sitting too long. This steady follow-up brings in money many practices would otherwise lose.
Colorado commercial payers often pay less than your contract states, especially for visits with multiple procedures or modifiers. Our team checks every payment against your fee schedule and files a formal dispute for each shortfall we find.
Our credentialing team tracks every enrollment your providers hold with Health First Colorado, CHP+, and commercial networks, and watches renewal dates closely so we can alert your practice early. A missed deadline can stop payments from that payer completely, so this early warning matters.
At the end of each billing cycle, we send you a report that shows total collections by payer, denial rates by procedure, and average days to payment, giving your leadership team real numbers to guide decisions about your revenue.
EZ MD Solutions meets the standards Colorado providers expect from a billing partner. When you work with us, you get the following:
If your practice wants more than billing help, we also offer medical practice management services colorado clinics use to run daily operations more smoothly alongside their revenue cycle.
| Problem Your Colorado Practice Faces | How EZ MD Solutions Solves It |
|---|---|
| Health First Colorado rejects claims for missing prior authorization | We secure approvals before each visit and check the paperwork before we submit the claim |
| RAE plans deny claims for medical necessity | We match your documentation to each RAE's medical necessity rules before we build the claim |
| Credentialing lapses stop payments from a payer | We track every enrollment and warn your practice 90 days before any deadline |
| Multi-procedure visits get paid below your contract rate | We check every payment against your fee schedule and dispute every shortfall |
| CHP+ claims get rejected for eligibility errors | We verify pediatric eligibility when we schedule the visit, not after |
| Your team can't see what's causing denials | We send monthly reports broken down by payer, procedure, and denial reason |
| Documentation doesn't support the billed complexity | Our coders catch the gap and work with your clinical team before we submit the claim |
Your clinical staff already has routines built around the systems they use every day, and we don’t ask them to change that. Our billing team connects directly to your EHR, practice management software, and scheduling tools, pulling encounter data from your system while managing claim submission through our own process. Payment and denial updates flow straight back into your records, so your front desk and clinical staff don’t take on any extra work.
We connect with your system from day one, so your team can stay focused on patient care.
We look at your billing workflows, Colorado payer contracts, rejection history, and open balances to find where you’re losing revenue.
We check each patient’s active coverage and secure every required approval before the scheduled visit.
Our certified coders assign the correct CPT, HCPCS, and ICD-10 codes and confirm the chart supports every billed service.
We check every claim for coding conflicts, missing fields, and formatting errors before it goes to any Colorado payer.
We find the reason for the denial, gather the supporting records, write a formal appeal, and track the case until it’s resolved.
We look at your revenue data each month and adjust our process to improve collections across your Colorado payer mix.
We shorten the gap between the visit and the payment in a few ways. We confirm coverage before each visit, submit clean claims that meet each payer’s rules, and follow up on unpaid claims on a set schedule so payment arrives sooner.
Most practices see their denial rate drop within the first billing cycle. Open balances shrink as we resolve them, and collection rates rise across both government and commercial payers, with results improving further as our team learns your specific payer mix.
Health First Colorado works through Regional Accountable Entities that manage coverage differently by county and region, and each RAE sets its own documentation rules, approval requirements, and payment process. Our team manages these differences claim by claim.
Colorado’s payer system includes RAE-managed Medicaid coverage, CHP+ rules, and regional carrier policies that general billing teams often miss. Without this knowledge, claims face higher denial rates and lower payments than the contract allows.
Our compliance team checks updates from the Colorado Department of Health Care Policy and Financing, follows RAE bulletins, and reviews changes to carrier contracts, and we update our process before these changes affect any of your claims.
Each report breaks down your collections by payer, shows denial reasons by procedure, and tracks how long balances stay open, giving your team a clear, ongoing view of your billing results. Our medical billing experts colorado practices rely on make this level of detail standard for every client.
EZ MD Solutions, LLC supports 75+ active US healthcare practices with a team of 200+ across the US, Latin America, and Asia.
sales@ezmdsolutions.com
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