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RevOn provides end-to-end healthcare services designed to support critical payer, provider and healthcare technology operations. Our teams can operate as an extension of your organization, supporting defined processes, specialized functions or complete operational workflows.
Our Scope: Capabilities include Claims & Adjudication Support, Benefits Configuration, Provider & Network Configuration, Claims Testing & QA, Healthcare Application Support, Medical Billing, Medical Coding, Denial Management, AR Management and Revenue Cycle Management. We combine experienced healthcare professionals with structured processes, quality controls and technology-enabled workflows to deliver consistent, scalable and SLA-driven services.
Expert setup, logic verification, and operational support for claims adjudication rules to ensure clean, accurate processing.
Precise benefit plan structure configuration, co-pay matrix validation, and coverage rules setup within core payer platforms.
Configuring provider contracts, fee schedules, tiering rules, and network directory data with high precision.
End-to-end scenario testing, regression suites, and claims validation prior to migration or system updates.
Dedicated support for administrative payer workflows, eligibility verifications, and operational back-office processing.
Provider demographic auditing, NPI/TIN updates, and 24/7 technical production support for core payer apps.
Complete charge capture, patient billing, electronic invoice generation, and insurance claim processing.
Certified AAPC/AHIMA coders providing ICD-10, CPT, and HCPCS coding with high precision and compliance checks.
97%+ clean claim rate with rapid 24-hour turnaround and clearinghouse scrubbers for maximum reimbursement.
Systematic denial analysis, appeal writing, root cause correction, and preventative workflow optimization.
Aging Accounts Receivable recovery, ERA/EOB posting, patient payment reconciliation, and ledger balance management.
Provider payer enrollment, CAQH maintenance, re-credentialing, and full end-to-end Revenue Cycle Management.
Requirement gathering, healthcare workflow mapping, system gap analysis, and functional specs development.
Tier 1-3 technical support, application troubleshooting, system configuration updates, and SLA maintenance.
Functional testing, system integration testing (SIT), automated regression, and User Acceptance Testing (UAT).
Data cleansing, EDI transaction validation (837, 835, 270/271, 834), migration verification, and data integrity checks.
Round-the-clock monitoring, job batch management, release deployment verification, and system stability maintenance.
Identifying operational bottlenecks, implementing workflow automation, reducing manual touchpoints, and driving efficiency.
Tailored operational models built to seamlessly fit your business structure.
Our specialists operate as a seamless extension of your in-house team, working directly within your workflows, tools, and compliance frameworks.
Full end-to-end management of specific processes (e.g., Denial Recovery or Benefits Configuration) with transparent reporting and strict SLA metrics.
Targeted support for system migrations, claims testing cycles, annual benefit configuration updates, or credentialing backlog clearance.
PARTNER WITH RevOn
Speak with our healthcare domain experts today to structure an SLA-driven service solution tailored to your needs.
