Marlien / Billing and RCM
Find what is getting missed in the billing process, and what needs to happen next.
Rejected claims, unresolved denials, aging balances, and incomplete follow-up can stay hidden inside an active billing process. Marlien manages the agreed workflow and shows what is moving and what is not.
Monthly billing report
Sample view- Claims submitted000
- Rejections000Reason, owner, correction status, filing risk
- Denials000Category, payer, action, status
- A/R aging0–30 · 31–60 · 61–90 · 90+
- Open actionsPractice and MarlienOwners and dates
Who does what
Marlien handles
- Agreed billing work and reporting
- Claim submission and supported follow-up
- Issue identification and next actions
You provide
- Complete, timely clinical and demographic information
- Required system access and responses
- Clinical documentation and coding clarification
Payers control
- Adjudication and payment timing
- Medical-necessity and coverage decisions
- Recoupments and policy changes
The billing lifecycle
Each stage is scoped in writing before work begins, so you know who does what.
- Patient information and eligibility: Whether Marlien reviews demographics, insurance, eligibility, and benefits.
- Authorization: Whether prior authorization is included, coordinated, or excluded.
- Coding and charge entry: Who codes, who enters charges, and what review Marlien performs.
- Claim preparation and submission: Scrubbing, clearinghouse, submission frequency, and filing-deadline handling.
- Rejections: Correction responsibilities and client response deadlines.
- Payment posting: ERA, EOB, reconciliation, and variance handling.
- Denials and appeals: Supported denial types, documentation, appeal depth, and exclusions.
- A/R follow-up: Age buckets, follow-up cadence, closure rules, and old A/R treatment.
- Patient balances: Statements, calls, payment plans, and collection-agency boundaries.
- Reporting: Weekly operational update and monthly performance review.
- Confirm provider roster, payer mix, EHR, clearinghouse, volume, current A/R, and responsibilities.
- Execute the agreement and BAA; establish approved role-based access and communication.
- Validate charge, claim, posting, rejection, denial, A/R, and patient-balance workflows.
- Begin on an agreed effective date and monitor the first submissions closely.
- Deliver the first report, identify gaps, and confirm corrective actions.
Billing performance
Billing pricing
6% of Eligible Collections$1,000 monthly minimum. You pay the greater amount.
$10,000 Eligible Collections
6% = $600
Charge: $1,000 (minimum applies)
$20,000 Eligible Collections
6% = $1,200
Charge: $1,200
$50,000 Eligible Collections
6% = $3,000
Charge: $3,000
- Insurance and patient payments actually received and posted in the practice-management system during the month, for claims submitted by Marlien.
- Reduced by refunds, payment reversals, and payer recoupments posted that month on claims Marlien submitted.
- Excludes payments on claims not submitted by Marlien.
- Excludes collections from before Marlien began billing, unless old A/R is separately included.
- Excludes loans, owner contributions, grants, and unrelated deposits.
- Treatment of capitation, value-based payments, payer incentives, and old A/R is set in your agreement.
Government, payer, clearinghouse, software, and other third-party charges are excluded unless expressly stated. Total scope and price are confirmed in writing before work begins.
Billing questions
Yes. Services are separate, and your agreement lists only what you select.
6% of Eligible Collections covers the agreed billing workflow and reporting. Exact inclusions are confirmed in writing before work begins.
Each month you pay the greater of 6% of Eligible Collections or the $1,000 monthly minimum.
A weekly operational update and a monthly performance review covering claims, rejections, denials, payments, A/R aging, deadlines, and open actions.