SLA Commitments

We'll commit to these numbers in writing — and give you an exit if we fail.

Most RCM vendors quote benchmarks you can't audit. We do the opposite: here are the standards we hold ourselves to, how each is measured, and how each is reported. Framed as targets and commitments — not claims of past results.

Monthly Performance Scorecard

Sample · reported every month

Commitments

Clean-Claim Rate

of claims accepted on first submission

95%

Target

Average AR Days

days in accounts receivable

<25

Target

Denial Rate

of submitted claims denied

<5%

Target

First-Pass Resolution

claims resolved on first pass

>90%

Target

A preview of your monthly scorecard — not claims of past results.

The Top 10

Ten commitments, every claim, every day

Each commitment includes the target we're accountable to, how it's measured from your own data, and how it shows up on your monthly scorecard.

01

Service Area

Eligibility & Verification

Every patient verified before service — benefits, annual maximums, frequency limits, downgrades, and coordination of benefits.

100% pre-serviceTarget
How it's measured
Share of scheduled patients with eligibility and benefits verified before date of service, audited against the appointment schedule.
How it's reported
Monthly scorecard; pre-service verification rate with exceptions flagged.
02

Service Area

Same-Day Charge Entry

Each day's production entered and claims built the same day — ready the next morning for submission.

≤ 24 hoursTarget
How it's measured
Elapsed time from date of service to charge entry and claim build, sampled daily.
How it's reported
Daily end-of-day report; monthly scorecard noting any exceptions.
03

Service Area

Clean Claim Submission

Correct coding with the required attachments (X-rays, perio charting, narratives) accepted on the first pass.

≥ 95% first-passTarget
How it's measured
Share of claims accepted by the payer on first submission, measured directly from clearinghouse acceptance data.
How it's reported
Monthly scorecard, with first-pass acceptance broken out by payer.
04

Service Area

First-Pass Resolution Rate

Claims resolved on the first pass without rework or appeal.

> 90%Target
How it's measured
Share of claims resolved on the first pass without rework or appeal.
How it's reported
Monthly scorecard, trended over time.
05

Service Area

Payment Posting

Accurate posting and reconciliation, with underpayments flagged against the contracted fee schedule.

≤ 2 business daysTarget
How it's measured
Time from ERA/EOB receipt to accurate posting and reconciliation.
How it's reported
Monthly scorecard, with exceptions noted.
06

Service Area

Denials & Appeals

Every denial reviewed, corrected, and appealed promptly — never left to age into a write-off.

≤ 3 business daysTarget
How it's measured
Turnaround from denial receipt to corrected or appealed resubmission, tracked per claim.
How it's reported
Monthly scorecard; appeal turnaround and recovery outcomes.
07

Service Area

Denial Rate

Keep the share of payer-denied claims low through clean submission and root-cause correction.

< 5%Target
How it's measured
Share of submitted claims denied by payers, categorized by reason code.
How it's reported
Monthly scorecard, with top denial reasons and root-cause actions.
08

Service Area

Average AR Days

Keep claims moving so the average time spent in accounts receivable stays low.

< 25 daysTarget
How it's measured
Average number of days claims spend in accounts receivable, calculated from your own claims data.
How it's reported
Monthly scorecard, with full aging-bucket distribution.
09

Service Area

Responsiveness

Named NuGenera contacts, with same-business-day response to your designated office staff.

Same business dayTarget
How it's measured
Time to respond to client questions and requests, tracked from receipt.
How it's reported
Monthly scorecard, with average and outliers.
10

Service Area

Reporting

An end-of-day report in your preferred format, plus a monthly summary of collections, AR aging, and denial rate.

Daily + monthlyTarget
How it's measured
Delivery of the daily end-of-day report and the monthly summary in the client's preferred format.
How it's reported
Daily report plus monthly collections, AR-aging, and denial-rate summary.

Accountability

The accountability clause

A commitment without a consequence isn't a commitment.

If we don't hit these benchmarks within 90 days, you can walk — 30 days' notice, no penalty, no renegotiation. Your data comes with you. That's the clause we sign, and it's the reason we measure everything from your own numbers instead of ours.

90 days

to prove the numbers

30 days

notice to exit

$0

termination penalty

See what we'd commit to for your practice

Start with a free revenue audit and we'll show you the specific targets we'd put in writing for your specialty and payer mix.

(855) 455-2873

No commitment required · Results in 48 hours.

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