How [Clinic name] uses Sovica to get claims right first time
A conversation with
[Name]
[Role]
Challenge
[Clinic name] bills [00] insurers. Staff retype every claim, sit on hold over denials and match remittances by hand, so money owed for finished work sits unclaimed for weeks.
Solution
Use Sovica to check eligibility before the visit, raise each claim from the note with the payer’s rules checked first, and match every remittance to the agreed fee.
Results
[00%] of claims paid without intervention.
Days to payment down by [00%].
[£000K] in denied claims recovered.
[Clinic name] is a specialty practice with [00] clinicians in [City]. Billing had become a second job for the whole team. With Sovica, the claim starts from the note, and what is owed sits on one list.
Getting paid had become a second job
Specialty practices share a recurring problem: the work gets done, and then the paperwork decides whether it gets paid.
[Clinic name] was seeing [00%] of its claims denied on the first pass. Most were small errors that nobody could catch before the claim went out.
They needed a claim to count as done when it’s paid, not when it’s sent. Sovica gave them that.
“[Customer quote: the first month the denials list went quiet.]”
With Sovica, [Clinic name] now raises claims from the note, with the codes, referral and authorisation on it. The first step was approve: every claim queued with its reason, one tap to send.
Clean claims at scale with workflows
At [Clinic name], eligibility runs when the patient books, payer rules are checked before a claim goes out, and any authorisation warning reaches the team while there is still time to act.
“[Customer quote: catching an authorisation problem days earlier.]”
Each signed note becomes a claim, and denials come back with the reason, the source and a drafted appeal for the team to approve.
“[Customer quote: what changed for the billing team.]”
The impact on [Clinic name] is tangible:
[00%] first-pass claim rate
Days in receivables down from [00] to [00]
[00] hours per week saved on follow-up
Matching every remittance to the visit
For [Clinic name], knowing what each insurer actually paid is critical. With Sovica, each remittance lands against its visit, and anything below the agreed fee is flagged.
“[Customer quote: seeing underpayments for the first time.]”
Now, when anyone on the team opens the billing list, they instantly see:
What is owed
Who owes it
Why it is late
“[Customer quote: closing the month without a spreadsheet.]”
A billing desk that scales
With clean claims and matched remittances, [Clinic name] is ready to add [00] clinicians with the same billing team.
“[Customer quote: what getting paid on time means for the practice.]”
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