GoodMargin medical billing & RCM software
Verify benefits. Prepare claims. Prevent avoidable denials and pursue unpaid revenue. Let AI handle payer calls and the time on hold, while your billers stay in control of the decisions.
Your people. Your existing systems. 0% of collections.
Benefits & authorizations
Connect eligibility and benefit details with authorization requirements, approved visits, and review dates. Your team can see which questions need follow-up.
Explore this workflowCoding & claim creation
Prepare coding and claims from documented care, check the details, and bring exceptions to a biller before submission.
Explore this workflowDenials & recovery
Bring the denial reason, claim history, and supporting information together so your team can choose a correction, appeal, or payer follow-up.
Explore this workflowAI payer calls & hold handling
Navigate phone menus, hold queues, and routine payer conversations. Bring back the claim status, requirements, reference number, and next action so a call becomes useful billing work.
Explore payer voiceExample interface and sample activity to explain the workflow. Not a live account or product screenshot.
Denial prevention, intelligence & recovery
Help your billers catch issues before a claim goes out, understand why a payer denied it, and keep recovery moving. Every response is a chance to improve the next submission.
01 Prevention
Bring benefits, authorization details, documentation, and coding together before submission. Flag missing information and potential issues for your biller to review.
02 Intelligence
Read payer responses alongside claim history and remittance details. Identify recurring issues by payer and denial reason so your team can investigate the source.
03 Recovery
Organize corrections, supporting records, appeal preparation, and payer follow-up in one workflow. Keep denied claims and smaller underpayments in view.
When the same authorization or documentation gap keeps appearing, bring it back into your team’s checks before filing. Recovery work should help prevent repeat problems.
Your new teammate for payer calls
Your billers have better things to do than navigate phone trees and wait for a representative. GoodMargin’s AI voice agents handle the menus, the hold queues, and routine payer conversations.
Use payer calls for benefits verification, authorization status, claim status, denial follow-up, and enrollment checks. The answer comes back into the relevant billing workflow, with context for the person taking the next step.
See what payer voice can doA call with a purpose
Connect the payer, the claim or authorization, and the question that needs an answer.
Navigate IVR phone menus, stay on hold, and handle routine representative conversations.
Capture status, missing requirements, reference numbers, and follow-up steps. Route exceptions to your team.
The whole workflow, connected
From the first benefits check to payment reconciliation, give your billers the tools and context to keep work moving.
01 Before care
Bring coverage, network status, deductibles, copays, benefit limits, and authorization requirements together before the visit.
Keep requests, supporting records, approvals, visit or unit limits, and expiration dates connected to the work.
Coordinate review dates, documentation requests, and payer follow-up, including ongoing BH/SUD care. Clinical decisions stay with clinicians.
02 Before submission
Prepare coding and claim details from documented care. Put questions and exceptions in front of your billers for review.
Surface missing or inconsistent demographics, codes, modifiers, and authorization details while they can still be corrected.
Bring required information into a claim, support electronic submission, and keep rejections and payer responses connected.
03 After filing
Connect denial reasons with claim history and supporting records. Organize corrections, appeal preparation, and payer follow-up.
Review payment discrepancies, including smaller balances. Track what is outstanding, what needs attention, and the next recovery action.
Connect remittance and payment information to the claim and your financial reporting. Keep discrepancies visible for review.
One connected record of the work. Payer call results, claim responses, and next actions stay connected, so the next person can see what happened and what needs to happen next.
Works with what works for you
GoodMargin works on top of your existing EHR, EMR, scheduling, and practice systems. Native integrations reduce duplicate entry and keep your billing workflow connected.
We confirm your systems and connections together during onboarding. Your team keeps familiar workflows while GoodMargin makes the work around them more efficient.
A clear view, whenever you need it
What’s coming in? What’s still open? What’s being done about it?
Your owner portal connects financial performance with individual claims: what is pending, what was denied and why, who is following up, and what happens next.
YOUR PRACTICE AT A GLANCE
Sample data for demonstration. Not a live customer account.
People stay in control
Your team reviews the exceptions, makes the decisions, and handles the conversations that need a person. GoodMargin connects the information, prepares the repetitive work, and makes the next action clear.
Want us to run that work for you? Add our white-glove billing service, led by an elite senior US biller who supports just two practices.
Explore full-service billingBefore we meet
Pre-bill checks help your team catch potential problems before submission. If a claim is denied, GoodMargin connects payer responses, claim history, and supporting records with correction, appeal, and follow-up workflows. Your billers can track progress, pursue underpayments, and use recurring denial patterns to improve future submissions.
Yes. GoodMargin’s AI voice agents navigate payer phone menus and hold queues, handle routine conversations, and return useful information to the related billing workflow. Benefits verification, authorization status, claim status, denial follow-up, and enrollment checks are supported. Your team handles exceptions and decisions that need human judgment.
The platform connects VOB and eligibility, prior authorization tracking, administrative utilization review support, automated coding and claim creation, pre-bill checks, payer calls, denial and underpayment follow-up, payment posting, reconciliation, and owner reporting. Buy the software for your own billers or add our full-service team.
Yes. Software-only is designed for your billing team. They use the same connected platform to manage the revenue cycle while keeping responsibility for review, decisions, and follow-through. A GoodMargin billing director is available through the separate full-service option.
GoodMargin software costs $1.90 per claim filed through the platform. At 1,000 claims per month, that is $1,900 in monthly software fees. The $6,555 monthly team fee applies only if you choose full service.
No. The platform works on top of your existing EHR, EMR, and practice systems through native integrations. We review your systems and confirm the connections and workflow with you before onboarding.
Your billers stay in control of coding and claim decisions, route clinical questions to the appropriate clinicians, and review exceptions. GoodMargin automates repetitive preparation and keeps relevant information and next actions connected.
VOB, administrative utilization review support, automated coding and claim creation, pre-bill checks, and AI payer calls with phone-menu and hold handling are available today. Use the platform with your internal billers or choose our full-service team to run the work.
Walk through the workflows that matter to your practice.