Claims and payer responses
Prepare supported claims from practice-supplied information, identify rejections, and follow the response.
Explore claims support →Managed medical billing · Primary care · Mental health · SUD
Medical billing.
Beyond submission.
Claims, denial follow-up, and payment reconciliation—managed through practical automation and accountable human oversight.
One managed workflow. Clear ownership of the work that needs attention.
30-minute phone consultation · No patient records needed
$750/monthPrimary care & mental health
$1,500/monthSUD programs
One agreed scopeClear responsibilities from the start
A claim was sent.
What happened next?
Rejections, denials, missing information, and unmatched payments create work after submission. Your practice needs a clear next action—not another status to chase.
Managed billing services
Know what you’re handing off.
Denial follow-up
Review the reason, organize the next supported action, and identify the information your team needs to supply.
Understand denial follow-up →Payment posting and reconciliation
Agree the posting responsibilities and system access, then match remittance details to claims and available payment records.
Review scope and responsibilities →Operational reporting
Keep unresolved items, responsibilities, and next actions visible in an agreed reporting format and cadence.
View an illustrative worklist →Specialty focus
Different care.
Different billing dependencies.
Primary care
Billing support for office-based primary care: E/M visits, payer responses, denials, and payment reconciliation in one practical work queue.
Explore primary care billing →Mental health
A practical billing workflow for individual and group therapy, psychiatric evaluations, medication management, authorizations, and payment reconciliation.
Explore mental health billing →Substance use treatment
Billing support for SUD programs with IOP attendance, OP services, authorization information, level-of-care handoffs, payer responses, and remittance review.
Explore substance use treatment billing →Transparent pricing
A monthly fee.
A defined scope.
Know what you are paying and which work is covered before the handoff. No percentage of collections.
Primary care
$750 / month
Per practice or account, for an agreed billing scope.
Mental health
$750 / month
Per practice or account, for an agreed billing scope.
SUD programs
$1,500 / month
Per practice or account, for an agreed billing scope.
Volume, providers, systems, and complexity inform the written scope. Additional services require a separate quote and approval. Compare scope and pricing →
The people behind the process
Clinic experience.
A systems mindset.
Tanner Rapp brings the perspective of running a primary care and behavioral health practice. Caleb Rapp holds a degree in instrumentation and automation.
Together, they founded RemitTrail around a practical idea: organize repeatable billing work, and keep people accountable for decisions and exceptions.
Meet the co-founders →A considered handoff
Three steps before work begins.
Discuss the practice
Your services, payer mix, systems, and the work you need handled.
Agree the scope
Volume, fee, responsibilities, reporting, and written service terms.
Arrange the transition
Appropriate access and safeguards, outstanding work, and escalation contacts.
Questions, answered
Before you hand over billing
Will we need to change our EHR or clearinghouse?
We review your existing systems, access options, and workflow before confirming fit. A consultation does not assume that every system is supported or that a change is required.
What does the monthly fee cover?
It covers the services agreed in writing. Claim volume, provider count, posting responsibilities, reporting, and practice complexity are part of that discussion. Historical A/R, credentialing, and formal appeals are not included unless explicitly agreed.
Who handles issues that need our staff?
We handle the billing follow-up assigned to us and identify what your team needs to resolve. Your practice supplies clinical documentation, care decisions, approvals, and information that only it can confirm. The handoff and escalation contacts are defined before work begins.
How do we share patient information?
Use the agreed secure access and sharing process after the appropriate agreements and safeguards are arranged. Do not send patient records through this website, email, or the scheduling form.
The next step
Let’s talk about your practice.
30 minutes to discuss your billing needs, systems, and service fit. No patient records needed.