Every question a practice should ask, answered honestly

We provide medical and dental revenue cycle management (RCM) for US practices: eligibility and benefits, prior authorizations, coding, charge entry, claim submission, payment posting, AR follow-up, denials and appeals, credentialing, patient billing and reporting. Work is delivered by senior-led, dedicated pods from our secure delivery center in Ahmedabad, India.

Independent physician practices, multi-provider and multi-specialty groups, specialty clinics, general and specialty dental offices, and DSOs or multi-location dental groups. See Specialties for the medical and dental specialties we support.

No. Choose the full cycle, or only the areas you need, such as AR follow-up, payment posting, insurance verification or credentialing. Many practices start with the area that hurts most and add more later.

Our US RCM specialists bring deep, hands-on US RCM experience, and every pod is led by a senior billing professional. You work with the same dedicated pod, not a rotating pool.

We work with single-provider offices up to multi-location groups and DSOs, and size the engagement to your volume. There are no minimum volumes or minimum fees.

We start with a free billing audit, so you can see how we think and what we find before you commit to anything. The audit is free and carries no obligation.

Ask us during your discovery call and we'll tell you exactly what we can share.

Our delivery center is at Office Nos. 1608–1611, Altimus, Shreyas Colony, Navrangpura, Ahmedabad. Yes. We welcome in-person visits and can arrange a live video walkthrough at a time that suits you.

Selva Infotech is the India-registered affiliate of Selva Infosys LLC in the US: the same team, services and delivery center. US clients contract with Selva Infosys LLC; clients outside the US may contract with Selva Infotech (India). Whichever entity you contract with signs your BAA.

Typically a few weeks. Week 1: discovery, secure access and the signed BAA. Week 2: payer rules and workflows are mapped and our team shadows yours. Weeks 3–4: your dedicated pod goes live, with quality checks on the output and regular check-ins.

The plan is designed to avoid one. Your current process keeps running while we map and shadow in week 2, and work moves over in agreed stages during go-live, with QA checks before each handover.

A signed BAA, secure user access to your PM/EHR, clearinghouse and payer portals, your payer list and fee schedules, current AR aging, recent denial history, and your adjustment and write-off policies. We'll send a simple checklist in week 1.

Your senior pod lead runs onboarding end to end and is your day-to-day point of contact. On your side, we only need one person who can answer workflow questions and approve access.

Yes. We'll plan the handover around your current vendor's notice period, take over open AR and work-in-progress, and document anything that was handled informally.

Both. Old-AR recovery is one of our core services. We can work aged balances alongside new claims, or as a separate clean-up project.

Usually clinical documentation, collecting patient information at check-in, patient conversations at the front desk, and approving items such as write-offs and refunds. We agree the split clearly during mapping so nothing falls between teams.

Every quote is custom, because cost depends on your specialty, volume, scope and the model you choose. You'll get a clear, written quote before any work begins, usually after your free billing audit.

Percentage of collections, dedicated FTE, per claim or transaction, hourly or task-based, and hybrid. See Pricing Models for a side-by-side comparison.

No hidden fees. Every fee is spelled out in your written quote, so there are no surprises. There is no setup fee and no minimum.

Our percentage model is based on collections, not charges. How refunds and recoupments are treated is defined clearly in your agreement.

Your quote lists exactly which services are included, for example credentialing, patient statements or reporting. If you later add scope, we'll quote it in writing before starting.

Yes. No cost and no obligation. With limited, secure access (BAA first), we review your revenue cycle and share clear, prioritized findings.

Yes. We operate as your Business Associate under HIPAA and sign a Business Associate Agreement with every practice before accessing any patient data.

Through secure VPN / remote access over encrypted connections, using user accounts you provision and can revoke at any time. Access is role-based, so each person sees only what their role requires. Multi-factor authentication and virtual desktops are used, managed by our internal IT team.

We work inside your systems, so your data stays in your PM/EHR. No PHI is stored on local machines, USB and removable media are not permitted, and personal phones are not allowed at workstations.

We don't claim third-party security certifications. Our safeguards are described plainly on our Security Practices page, and we're happy to complete your security questionnaire. If your organization requires a specific certification, we can discuss it during discovery.

Work is delivered from a secure, access-controlled facility, with private cabins for leads and sensitive calls. USB and removable media are blocked and personal phones are not allowed at workstations.

Every team member signs an NDA. Team members are background-checked and receive HIPAA training.

As required by HIPAA and the terms of your BAA. Any shorter contractual notification window is agreed in your BAA.

No subcontractors touch your PHI. If any subcontractor were ever involved, HIPAA requires them to sign a BAA too, and we would disclose them to you.

We're open to reasonable security reviews and questionnaires. Yes. Clients can audit us, as defined in the terms of your contract.

Continuity arrangements are shared during discovery and set out in your agreement, so you know exactly how work is protected.

Our team has hands-on experience with medical platforms such as Epic, eClinicalWorks, athenahealth, AdvancedMD, Kareo / Tebra, NextGen and DrChrono, and dental platforms such as Dentrix, Eaglesoft, Open Dental, Curve and Denticon. This describes experience only; no partnership or endorsement is implied.

No. We work inside your existing PM/EHR, clearinghouse and payer portals. No migration and no new software for your team to learn.

Tell us which one you use. Most RCM workflows carry over between systems, and week 2 of onboarding is spent mapping your exact workflows before go-live.

We use your clearinghouse and portals, with credentials you control, so your claim history and data stay in your systems.

Yes. Our internal team builds custom AI and automation tools around each client's workflow to improve accuracy and speed. Every claim and follow-up is still owned by a person in your dedicated pod.

Your senior pod lead: one named person who knows your account, runs your check-ins and escalates anything urgent. You also have direct access to our leadership team.

India's working day falls during the US night, so much of the processing can happen overnight for you and be ready by your morning. We work in whichever US time zone you need, so your pod is available during your business hours.

Email and phone, plus scheduled video check-ins. We can work in the tools you already use; the setup is agreed during onboarding.

As soon as possible. Response-time commitments are agreed to match your needs.

Regular KPI reporting on collections, AR and denials, in a format agreed in week 2, plus insights on root causes and recommended front-end fixes. You get both weekly and monthly reports.

Yes. Work is done and documented in your own systems: claim notes, follow-up notes and posting history sit in your PM/EHR where you can review them at any time.

Only if you want it to. Patient billing and calls are an optional service. Many practices keep front-desk conversations in-house and outsource the payer-side work.

Results depend heavily on your specialty, payer mix and starting point, so we don't quote blanket figures. Instead, your free audit establishes a baseline, we agree the KPIs that matter to you at kickoff, and we report against them regularly.

Every pod includes a QA and reporting role. Output is quality-checked during go-live and reviewed on an ongoing basis. The QA approach is shared during discovery.

Our specialists bring deep, hands-on US RCM experience. Team credentials are shared during discovery.

We correct it, tell you about it, and fix the root cause so it doesn't repeat. Financial responsibility for errors is defined in your agreement.

Your pod lead tracks payer policy and code-set updates relevant to your specialties and shares them with the team and with you.

Your account never depends on one person. The pod is senior-led, your workflows are documented during onboarding, and colleagues in the pod already know your account.

Your pod works every open balance on a set follow-up cadence, by payer and aging bucket (0–30, 31–60, 61–90, 90–120 and 120+ days), with notes in your system and escalation of stuck claims.

We fix the claim, appeal where it's warranted with written appeals and supporting documentation, and track denial reasons so recurring issues get fixed at the front end.

Yes. Underpayment and contract analysis checks payments against your contracted rates or PPO fee schedules and follows up on shortfalls.

To your adjustment and write-off policy, which we document during mapping. Anything outside policy is routed to you for approval.

Yes: secondary and tertiary billing, patient statements and, if you choose, patient billing calls.

We identify them and route them to you for approval, so refunds are handled correctly and on time.

Yes, when they're in scope. We agree how mail and correspondence reach us so nothing is just logged and left.

Yes: payer enrollment, re-credentialing, CAQH profile upkeep and payer contracting support for medical and dental providers, including PPO network participation for dental.

It depends on the payer, and timelines are set by payers rather than by us. We submit promptly, follow up persistently and keep you updated.

Any fees charged by payers are the practice's. Our own fees for credentialing work are listed in your quote.

Yes. We verify benefits ahead of appointments (frequencies, waiting periods, maximums, history) and record coverage clearly in your practice software.

Yes. We write narratives and attach X-rays, perio charts and other documentation before claims go out, then follow up until they're resolved.

Yes. Pre-auths and pre-determinations are submitted and tracked, and clear patient-portion estimates are prepared before treatment.

Yes. We flag underpayments against your PPO fee schedules and follow up with carriers.

Yes: ortho contracts, recurring claims and patient payment plans, kept on schedule month after month.

Yes. Pods scale with your locations and volume, and reporting can be broken down by office.

Tell us about your cases during discovery and we'll confirm how we can support medical billing for dental procedures.

CPT, ICD-10 and HCPCS coding, E/M levelling and specialty coding, along with charge entry and documentation checks.

Yes. Requests are submitted, tracked and followed up so care isn't delayed.

Commercial plans as well as government payers such as Medicare and Medicaid, following each payer's rules for your specialty.

Yes. Medical transcription and virtual medical assistants for remote front-office and patient tasks are both available.

You do. Your data lives in your own systems, and we work inside them under your BAA. We never hold your data hostage.

We hand over open AR and work-in-progress with notes, your access credentials are revoked, and any PHI is returned or destroyed as your BAA requires.

The notice period and exit terms are set out clearly in your agreement.

Three reasons: cost, experienced talent and time zones. Our delivery center in India helps keep costs below a fully in-house department; our specialists bring deep, hands-on US RCM experience; and the time difference means much of the work can be processed overnight for you. More on Why India.

Completely. Your work is delivered from our secure center in Ahmedabad, India, by your dedicated pod. That's stated plainly in your agreement and on this site.

You'll have a named pod lead, work documented in your own systems, regular reporting and a US phone line to reach us. The goal is for the pod to feel like an extension of your own office.