Claimed Solutions

ClaiMed Solutions is a revenue cycle management company based in Austin, TX, built specifically for behavioral health and orthopedics practices. Their focus is simple: protect revenue the practice has already earned. Rather than running billing as a transaction, ClaiMed positions itself as a healthcare BPO partner that investigates problems, takes ownership, and follows through until each issue is resolved. The core of what ClaiMed offers falls into three sequential phases. First, recovery: cleaning up aged accounts receivable, appealing denied claims, reviewing underpayments and automatic downcoding, and untangling the mess that often follows a transition from a previous billing company. Second, protection: full-cycle claim submission and scrubbing, eligibility and benefits verification, authorization management, credentialing and payer enrollment, and monthly reviews that explain what actually changed in the numbers. Third, growth: revenue reporting written for practice owners rather than billing staff, payer mix analysis, reimbursement modeling for new providers and sites, and oversight support for practices that keep billing in-house. ClaiMed serves two specialties in depth: behavioral health and orthopedics. Both face specific denial patterns, payer behavior, and coding rules that generalist medical billing companies frequently miss. Medicaid eligibility in behavioral health and authorization or global-period disputes in orthopedics are known to push accounts receivable past 90 days. ClaiMed's diagnostic work is built around the six revenue leak types they check first, including claims that never reached the clearinghouse, line-level underpayments, and credentialing gaps where a new clinician began seeing patients before enrollment took effect. What sets ClaiMed apart operationally is their five-step ClaiMed Revenue Resolution System, which moves from identification through investigation, ownership, resolution, and prevention. Most billing relationships stop after the first step. ClaiMed's stated model is that responsibility for a revenue problem stays with their team until it is closed, not passed back to whoever answers the phone. Clients get a named contact, written status on every open issue, and a clear division of responsibilities. They also offer a no-cost, no-obligation review of the last 90 days of claims for new prospects. Practices looking for a back-office outsourcing partner that specializes in medical billing and revenue cycle management can reach ClaiMed Solutions through their website to start with the complimentary 90-day diagnostic.