


BEFORE THE VISIT
Eligibility is checked against the payer when insurance changes, and on demand. A lapsed plan surfaces before you bill.
AT SUBMISSION
Payer rules and contracted rates apply before the claim is built. Nothing sends until the note is signed, the codes are right and coverage is confirmed.


WHEN A CLAIM IS DENIED
Denials and rejections arrive categorized with the payer’s reason code. A rejected claim moves to resubmission in one step.
AFTER PAYMENT
Payments post themselves against each claim, so you can see what landed.

It is the practice management system. Scheduling, records, notes, claims, payments and reporting are all mdhub, and the AI agents work inside it: Eric on billing, Sarah on admissions, Emma in the record, Maya on chart audits. The agent reads the same note and coverage record your billing team does. Clinics often start with one part, usually eligibility or chart audits, and add the rest later.
Behavioral health claims carry rules general medical billing does not. Psychotherapy codes are time-defined, so the note has to prove the session length. Add-on codes need their primary code. Parity rules, EAP limits and out-of-network arrangements each add conditions. Most denials trace to documentation, so prevention belongs in the note.
Yes. Real-time eligibility verification confirms whether a plan is active and what it covers before the appointment. That stops the most avoidable denial there is: a session billed to a dead plan. The check also re-runs on its own when the last one has gone stale. It confirms coverage, though an unmet deductible can still change what the patient owes.
Flagging tells you a claim already failed. Preventing means checking before submission, against the payer’s rules and the clinical note together. Most tools check format only, so a claim can pass a scrubber and still be denied for a missing time entry. With mdhub the rules apply before the claim is built.
More than the value of the claim. Someone has to identify the denial, correct it, resubmit and track it, and payment is delayed by weeks. For clinics that hit denials routinely, the staff time costs more than the claims themselves.
Yes, and it is the cheapest place to catch them. A compliance check against the note before submission catches a missing time field or an unsupported code while the clinician is still there to clarify. After submission the same problem is a denial.