Who We Are
Across labs and clinics, we kept seeing revenue put at risk at multiple points — denied claims, delayed authorizations, incomplete documentation, and complex payer requirements. We focus on reviewing those issues and supporting the follow-through that can otherwise get buried.
Work With UsWe've Seen This Problem Firsthand
Medical Claims Partners LLC is a family-owned, independent reimbursement firm. We come from inside both sides of the work — molecular lab operations and oncology clinic billing — and started this firm after watching the same denial, authorization, and documentation failures repeat across both.
We kept seeing the same pattern: community oncology clinics with small billing teams facing denied infusion claims, prior authorization backlogs, and the complexity of evolving radiation and biomarker codes. And independent diagnostic labs dealing with order, documentation, authorization, and payer-policy gaps that became difficult to fix downstream.
We established Medical Claims Partners to support both — with oncology and molecular diagnostics context, and engagement options that make it straightforward for practices and labs to start with a defined scope.
Built for exacting work across payer responses, authorization records, documentation, and next-step ownership.
How We Operate
Incentives should stay aligned.
For recovery projects, contingency-based pricing can keep incentives aligned around successful collections. Prior authorization, documentation, and ongoing support are scoped before work begins.
Focused context matters.
We are not a general billing vendor. We focus on oncology clinic and lab reimbursement work, where documentation, payer policy, and clinical context often determine the next step.
Timelines should be candid.
Payer appeal timelines vary. Some denials cannot be reversed. We set expectations upfront and keep reporting clear as work moves forward.
Let's Work Together
Ready to review denied revenue or documentation gaps with a team that understands the workflow?