We collect patient balances
in your patients' language.
Patient responsibility is now the hardest money in the revenue cycle to collect — and it gets harder when the patient doesn't fully follow the statement, the EOB, or the phone call. MirasHealth works patient A/R in Urdu, Punjabi, Hindi, Gujarati, Bengali, Sindhi, Pashto and Tamil, alongside full-cycle billing in English. We build language technology for these exact languages for a living.
The money isn't lost at submission. It's lost after.
Industry benchmarks show most denied claims are recoverable and most are preventable — yet the majority are never reworked at all, because rework costs staff time nobody has. That gap is the whole business case for outsourcing.
Figures are published US industry benchmarks (MGMA, AMA, and payer-reported denial studies), not MirasAI client results. Your practice's actual numbers come from the free A/R audit.
NLP on the documentation, before the claim goes out
Conventional claim scrubbers check field-level rules: is the modifier valid, is the NPI present. They can't read the note. Our team builds language models professionally, so we read the clinical documentation against payer policy and flag the mismatch that would have caused the denial — before submission, not after.
The bill nobody can explain doesn't get paid.
Insurance pays predictably. Patients don't. Under high-deductible plans, patient responsibility has grown from a marginal share of practice revenue to roughly 15–30% or more depending on specialty and payer mix — and industry figures put around half of it uncollected. Collection probability falls sharply once a balance passes 90 days.
The reason is rarely refusal. It's confusion. A patient who doesn't fully follow a deductible, an EOB, or a coinsurance split doesn't pay — they wait, or they ignore the letter. Add a language barrier and a statement in English, and that balance ages straight into write-off.
So we make the call in the language the patient actually thinks in. Statements, payment plans, hardship conversations, follow-up — handled by staff who speak it natively, from a company whose research work is these languages.
Patient-responsibility and collection-timing figures are published US industry benchmarks, not MirasHealth client results.
Every step from eligibility to cash posted.
Eligibility & benefits verification
Real-time coverage, co-pay, deductible and authorisation checks before the date of service — the cheapest denial is the one that never happens.
Provider credentialing & enrolment
Payer enrolment, CAQH maintenance, revalidation and contract follow-up so you can bill in-network sooner.
Medical coding & audit
ICD-10, CPT and HCPCS coding with documentation review, modifier accuracy, and periodic coding audits against payer policy.
Charge entry & claim scrubbing
Charge capture with automated and NLP-assisted scrubbing against payer edits before submission.
Electronic claim submission
CMS-1500 and UB-04 submission through clearinghouse, with rejection triage and same-day correction.
Payment posting & reconciliation
ERA/EOB posting, contractual adjustment verification, and underpayment detection against your fee schedule.
Denial management & appeals
Root-cause categorisation, appeal drafting with supporting documentation, and feedback into coding to stop repeats.
A/R recovery
Aged receivable work-down by bucket, payer follow-up, and recovery of claims previously written off.
Multilingual patient A/R & statements
Patient balance follow-up, statements, payment plans and hardship conversations — handled in the patient's own language where that's the barrier.
Analytics & monthly reporting
Days in A/R, clean claim rate, denial rate by payer and reason, net collection rate — reported monthly, not on request.
How we start.
Free A/R audit
We review your aged A/R, denial reasons and payer mix, and show you where the recoverable money sits. No cost, no obligation.
Scope & agreement
Percentage-of-collections pricing agreed up front, plus a signed HIPAA Business Associate Agreement before any PHI moves.
Onboarding
We work inside your existing EHR and practice management system. Credentialing of our team on your systems, and a parallel-run period.
Run & report
Daily claim work, denial rework, and monthly reporting against agreed KPIs with a named account contact.
Specialties we bill for.
Coding rules, modifier logic and payer behaviour differ sharply by specialty. These are the areas our coders work in.
PHI handling, stated plainly.
Delivery teams operate from Pakistan under the same access controls and BAA obligations. We disclose this up front — offshore delivery is how the cost advantage exists, and you should know where your PHI is handled before you sign, not after.
We're new to billing. We're not new to hard language problems.
MirasAI is an AI and IT consulting company that builds speech and text systems for languages most models have never seen. That work is peer-reviewed — our corpus for 39 languages of Pakistan was published at LREC 2026 — and funded, with over $500K in research funding raised to date.
Medical billing is, underneath, the same class of problem: unstructured human text on one side, a rigid coded schema and a rulebook on the other, and money lost in the gap between them. Most billing companies attack that with headcount. We attack it with headcount and the NLP tooling we already build.
We'd rather say that plainly than claim a decade of billing history we don't have. Start us on your aged A/R — the bucket already written off — and judge us on what we recover.
4–7% of net collections. Most practices land at 5–6%.
The US market runs 4–10%, with competitive quotes clustering between 5% and 8%. We price just under that midpoint because our delivery model lets us, not because we've cut anything out of scope.
Your rate depends on specialty, claim volume, average claim value and payer mix. We quote it after the free A/R audit, in writing, before you commit to anything.
Pricing, onboarding & compliance.
How much does it cost?
Do I have to change my EHR or practice management software?
How do you handle HIPAA and protected health information?
What makes you different from other billing companies?
Are your coders certified?
Can you work claims that have already been denied or written off?
What size practices do you work with?
What reporting will I get?
Show us your aged A/R.
We'll review your denial reasons, payer mix and aging buckets, and come back with what's recoverable and why it wasn't collected. No cost, no obligation, and no PHI required for the initial review — aggregate figures are enough to start.