Stop Losing Revenue to Denials, Delays & Aging A/R
Apex Flow partners with independent medical practices to recover missed insurance revenue, reduce denial rates, and optimize your billing workflows — without adding headcount.
Comprehensive Revenue Cycle Services
From claim submission through final payment, we manage every touchpoint of your revenue cycle — so you can focus on patient care.
End-to-End Medical Billing
We manage your full billing cycle — coding review, claim submission, payer follow-up, ERA posting, and patient statement processing — reducing errors and accelerating reimbursement.
5% of Collections
A/R Recovery
We aggressively work 60–120+ day aging claims, identifying high-value recoverable balances, correcting errors, and following up with payers your internal team doesn’t have bandwidth to chase.
8% Performance-Based
Denial & Appeals Management
We root-cause your denials, correct coding and documentation errors, submit targeted appeals, and build systematic processes to prevent the same denials from recurring.
Included in Billing Plan
Underpayment Recovery
We audit payer remittances against your contracted rates, identify systemic underpayments, and file formal disputes to recover revenue you’re contractually owed but never received.
Performance-Based
Eligibility Verification
We verify patient insurance coverage before every appointment and claim submission — catching inactive policies, coordination issues, and coverage gaps before they become denials.
Included in Billing Plan
Provider Credentialing
We manage enrollment and re-credentialing with all major commercial and government payers, ensuring your providers are active and claims are never rejected due to credentialing lapses.
Flat-Rate Available
With over a decade on the front lines of medical billing — from community health front desks to Fortune 500 hospital AR departments — Neals built Apex Flow to give independent practices access to enterprise-level revenue cycle expertise.
Built by Someone Who’s Done the Work
Apex Flow wasn’t born in a boardroom. It was built by a billing professional who spent years in the trenches — verifying eligibility at a safety-net hospital, managing denials for a multi-location chiropractic group, recovering AR for orthopedic and neurology departments at a Fortune 500 health system.
Started at a Community Health Hospital
Began in front desk and patient registration serving low-income communities, mastering insurance verification, ACA applications, and the human side of healthcare access.
Billing Manager & Trainer — DME, Oncology & Pain Management
Moved into a private practice specializing in DME, pain cream, and cancer screening. Promoted to Billing Manager and Trainer, responsible for staff development and claims accuracy.
Billing Team Lead & Manager — 6 Chiropractic Locations
Led billing operations across 6 locations, overseeing $15M+ in annual claims with a 95% clean claim rate and zero timely filing denials. Managed offshore billing staff and cross-location workflows.
AR Specialist & SME — Orthopedics, Neurology & Behavioral Health
Returned to hospital-level AR, becoming a Subject Matter Expert and developing a passion for training billing teams. This experience shaped the systems and standards Apex Flow is built on.
Results From Our Team’s Combined Experience
These numbers reflect the real-world performance of our leadership team across hospital, private practice, and multi-location billing environments before founding Apex Flow.
Results We’ve Helped Practices Achieve
Frequently Asked Questions
What types of practices do you serve?
We work with independent practices across specialties including primary care, internal medicine, chiropractic, orthopedics, neurology, behavioral health, DME, oncology, and pain management. If you’re billing insurance, we can help.
How quickly can you begin working our A/R?
After a signed BAA and free A/R analysis, we typically begin within 5–7 business days. Most practices see measurable improvement in cash flow within the first 30–45 days of engagement.
Do you require long-term contracts?
No. Our billing management services are month-to-month. A/R recovery is fully performance-based — we only get paid when you do. We earn your business through results, not lock-in.
How do you handle patient data security?
We operate on HIPAA-compliant infrastructure with encrypted access protocols, signed BAAs, and strict internal policies. We carry $1M in Cyber Liability and $1M in Professional Liability (E&O) coverage.
How is performance-based pricing structured?
For full billing management it’s 5% of collections. For A/R recovery it’s 8% of what we actually collect. No setup fees, no hidden charges. You pay only for results.
Do you work with offshore billing staff?
Yes — our founder has direct experience managing offshore billing teams and knows how to structure workflows, quality controls, and accountability systems that make offshore teams effective and compliant.
Let’s Find What Your Practice Is Leaving on the Table
A free 10-minute A/R analysis can reveal exactly what’s recoverable in your aging claims. No obligation, no pressure — just clarity.