OUR BLOGS

A claim edits, and the instinct is to slap on a modifier and resubmit. That instinct is exactly how Modifier 25 and Modifier 59 get misused. This guide breaks down what each modifier actually communicates, when documentation does and doesn't support them, how the XE/XP/XS/XU family fits in, and a practical decision framework for urology billing teams in 2026.

Identify where claims stall and build a repeatable process that keeps aging balances under control.

A practical buyer’s guide for healthcare practices evaluating RCM and medical billing vendors in 2026.

Anthem's timely filing rules aren't one-size-fits-all and a missed deadline means uncollectible revenue, no matter how clean the claim was. This guide breaks down how Anthem/Elevance Health filing windows generally work, why claims really miss the deadline, what counts as proof of timely filing, how to handle a CO-29 denial, and the workflow habits that keep practices from losing revenue to the clock — plus an interactive self-assessment to check your own process.

Stop fixing the same denials over and over. Identify root causes, prevent recurrence, and turn denial data into higher collections.