Coast to Coast Medical Solutions has 30+ years of experience in the Medical insurance and Billing Fields. 

Our clients receive a dedicated team of  professionals working for them. 

Your team is available to answer questions, address concerns, and provide swift resolutions. 


Insurance Verification

We recognize the financial risk of insufficient insurance Benefit information.

We ask the right questions necessary for obtaining concise answers about available Behavioral Health benefits for your clients:

  • Person-to-person live call verification for highest level of accuracy.
  • Each verification is reviewed for the highest quality. 
  • Quick turnaround times to provide efficiency for service providers
  • Verification Specialist available from 9AM to 8PM EST ensuring coverage for all US time zone business hours. 

Utilization Management

Passionate Utilization Review Specialists  experienced in behavioral health services.

Utilization Management involves proactive procedures such as pre-authorization of services, concurrent planning, discharge planning, and clinical case appeals:

  • Established rapport with case management with most major nationwide insurance companies .
  • Experienced clinical staff ensuring medical necessity of medical services.
  • Clinical data collection on diagnosis, diagnostic test results, symptoms, and conditions supporting requested services. 

Billing & Collections

The revenue cycle isn't complete until we've collected every dollar that's due to our clients.

We know the right questions to ask in obtaining clear comprehensive answers about Behavioral Health benefits available for your clients:

  • Top-notch billing software system.
  • Dedicated Collections Specialists review each claim following up with insurance providers daily ensuring highest reimbursement for you!
  • Quality assurance and accuracy checks on all claims.
  • Continuous follow-up assuring claims are paid at highest rate in prompt manner. 

Financial Reporting

Customized reporting tailored to suit your business needs. Provided on a weekly, monthly, quarterly and yearly basis.

Access to web-based reporting and key performance indicators individualized for each facility:

  • A/R Report (Monthly): ​Age of open claim by patient and insurance company.
  • Balance Report (Monthly): Line by line report of open claims.
  • Practice Analysis (Monthly): Pie chart of services rendered.
  • Billing Report (Weekly): Weekly report of claims processed.   

Managed Rate Consulting

We maintain strong long-lasting network relationships with nationwide insurance companies.

We work diligently to uphold our reputation of being fair, reasonable, and knowledgeable. We handle all aspects of the process including: 

  • Guidance on receiving competitive reimbursement and ethical billing standards. 
  • Assist new facilities about core concepts of insurance billing and collections procedures.
  • Application, contracting, and credentialing process. 
  • Rate negotiation upholding reasonable and customary industry standards. 

Personalized Services

We offer specialized "boutique style" services designed in bolstering revenue growth.

We have the expertise and experience in providing each facility with specialized "boutique style" services uniquely designed in bolstering revenue:

  • Single Case Agreements.
  • Appeals for generating additional revenue. 
  • Medical record reviews determining proper documentation supporting billed services. 
  • Case by case negotiations attaining competitive rates for claims in the collection process.