How quickly do you submit claims?

All clean claims are submitted within 24 hours of receiving the charge data. Urgent or high-value claims are prioritized same-day.

Do I have visibility into what your team is doing?

Yes. Every client gets access to our proprietary dashboard — real-time claim status, AR aging, denial tracking, and performance KPIs. No more waiting for end-of-month reports.

What specialties do you cover?

We specialize in home health, mental health, nurse registry, and multi-specialty groups. We also cover primary care, internal medicine, and other outpatient specialties.

What is your pricing model?

We work on a percentage of collections model — typically 3–7% depending on specialty, volume, and service scope. This aligns our incentives with yours: we earn more when you collect more.

Medical Billing & RCM

Medical Billing & Revenue Cycle Management

Full-cycle billing from eligibility to reconciliation.

We manage every touchpoint of your revenue cycle — from patient eligibility verification to claim submission, payment posting, and final reconciliation. Claims go out within 24 hours. Nothing falls through the cracks.

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Problems We Solve

Claims sitting days before submission

No visibility into claim status after filing

Coding errors causing denials and delays

Revenue lost to missed filing deadlines

Billing company not communicating results

What's Included

Patient eligibility verification

Medical coding (ICD-10, CPT, HCPCS)

Claim scrubbing and validation

Electronic claim submission

Payment posting and ERA reconciliation

Patient statement management

Monthly financial reporting with KPIs

Dedicated account manager

Expected Outcomes

>97% clean claim rate on first submission

Claims submitted within 24 hours

DSO reduced by 30–50%

Real-time dashboard visibility on every claim

Monthly performance reports with benchmarks

Full revenue cycle management for Florida providers

Leymax operates as an end-to-end medical billing and revenue cycle management partner for clinics, agencies, and groups across Florida. The work starts at patient eligibility — verified electronically before the encounter against every active payer in the patient's coverage stack — and continues through coding, scrubbing, electronic submission, payment posting, ERA reconciliation, and AR follow-up. Nothing leaves the cycle until the dollar is collected and reconciled or formally written off with documentation.

Florida's payer landscape is fragmented in ways that punish generalist billers. Medicaid Statewide Medicaid Managed Care plans (Sunshine Health, Simply Healthcare, Humana Medicaid, Molina, Aetna Better Health, AmeriHealth) each enforce different prior-auth rules, modifier expectations, and timely-filing windows. Medicare Advantage plans dominant in Miami-Dade — Humana Gold Plus, CarePlus, Florida Blue MA, WellMed — apply their own additional documentation requirements that don't exist in original Medicare. Florida Blue commercial behaves differently in Broward than in Palm Beach. Our payer-by-payer rule library handles those differences in scrubbing so clean claim rates clear 97% on first submission, not after retries.

Where billing companies typically leak revenue — and what we fix

Most revenue leakage isn't from denials you see. It's from claims that submit, pay partially, and never get reconciled against the contracted fee schedule. ERA reconciliation that runs by line item — not by claim total — surfaces underpayments the same week they happen. We track every contractual adjustment against the contracted rate per CPT per payer, so you know within days when a payer changes a fee schedule without notice.

The second leak is timely-filing windows quietly closing. Florida Medicaid plans run on 180 days from date of service; commercial plans run from 90 to 365 depending on contract. When a claim sits in a denial queue for 60 days without action, the appeal window may already be half spent. Our denial workflow assigns every denied claim to a Florida-licensed biller within 72 hours, with appeal documentation pre-staged from the original chart so no claim ages out unworked.