- Therapy and medication management
- IOP, PHP, and SUD treatment programs
- Case management, community support, and residential services
DENmaar Revenue Cycle Intelligence
Claims Copilot ™
Stop Chasing Claims.
Start Preventing Problems.
Claims Copilot is DENmaar’s behavioral health revenue cycle solution
designed to help practices prevent claim issues before submission, reduce
aging, accelerate reimbursement, and improve operational performance.
Pre-Submission Claim Readiness
Payer Lifecycle Monitoring
Aging & Collections Visibility
Pre-Submission Readiness
Catch eligibility, authorization, payer, and documentation issues before claims go out.
Lifecycle Claim Monitoring
Track claims after submission with rejection management, status visibility, and aging oversight.
Operational Performance
Support clean claim performance, reduce aged claims, and improve collections visibility.
Behavioral Health Focused
Designed for therapy, medication management, SUD, IOP/PHP, community support, and more.
Built for Behavioral Health
Designed for Behavioral Health
Revenue Cycle Workflows
Whether your organization provides therapy, medication management, IOP,
PHP, SUD treatment, case management, community support, or residential
services, Claims Copilot is built around the operational and reimbursement
realities of behavioral health.
Behavioral health support areas
Claims Copilot is positioned to support behavioral health organizations that need stronger claim readiness, reimbursement visibility, and operational follow-up across complex service lines.
Prevent Problems Before Claims Are Submitted
Address Revenue Cycle Breakdowns
Before They Turn Into Denials or Delays
Most claim problems begin long before a claim is submitted. Claims Copilot helps practices identify and
resolve those issues earlier so reimbursement performance is not undermined later.
Verify Insurance Eligibility
Confirm insurance coverage details early to reduce preventable reimbursement delays and billing confusion.
Review Insurance Information & ID Cards
Validate insurance information and supporting details so claims are built on more accurate payer data.
Track Authorizations
Monitor authorization requirements and approval status to reduce avoidable denials tied to missing coverage approvals.
Monitor Provider Credentialing Requirements
Support awareness of credentialing-related payer requirements that can affect billing and reimbursement workflows.
Identify Claim Issues Before Submission
Catch missing information, workflow gaps, and other claim barriers before the claim enters the payer lifecycle.
Improve Documentation-to-Billing Alignment
Route messages and requests to the appropriate team, department, or follow-up queue.
How Claims Copilot Works
A continuous workflow built to
support prevention, monitoring, and resolution.
Claims Copilot doesn’t stop at submission. It supports the operational work needed before the claim goes out, then continues
tracking activity through the payer lifecycle to help teams reduce delays, aging, and reimbursement bottlenecks.
1
Review claim readiness before submission
Insurance, eligibility, authorization, and workflow details are reviewed to identify claim risks before they become downstream reimbursement problems.
2
Submit claims and monitor payer activity
Once claims are submitted, Claims Copilot supports visibility into rejections, claim status, aging, and other signals that indicate a claim may require action.
3
Route follow-up through the right workflow
Operational tasks can be prioritized based on the issue—whether the next step involves internal follow-up, claim correction, payer research, or payment posting support.
From prevention to reimbursement performance.
Claims Copilot is designed to help organizations manage the full payer journey—not just claim submission. The result is a more proactive revenue cycle process with clearer visibility and fewer avoidable surprises.
Before submission:
improve readiness across insurance, authorizations, and documentation alignment
After submission:
monitor claim status, rejections, denial patterns, and aging across the payer lifecycle.
Operationally:
help teams reduce aging, recover delayed payments, and improve turnaround performance.
Monitor Claims Through the Entire Payer Lifecycle
Submitting claims is only the beginning.
Claims Copilot continuously tracks claim progress and supports the workflows needed to identify
reimbursement issues, respond to payer friction, and keep claims moving toward payment.
Claim Submission & Rejection Visibility
Support clean electronic claim submission while maintaining visibility into rejections and claim issues that need attention after submission.
- Electronic claim submission
- Rejection management support
- Visibility into claim readiness breakdowns
Status Monitoring & Aging Analysis
Track claims after submission to identify delays, payer inactivity, unresolved statuses, and aging trends that can impact collections.
- Claim status monitoring
- Aging analysis and prioritization
- Operational follow-up workflow visibility
Denials, Follow-Up & Payment Support
Improve follow-through on denied or delayed claims by supporting structured next steps across payer follow-up, resolution activity, and payment posting workflows.
- Denial tracking
- Follow-up workflow support
- Payment posting support
Reduce Aging and Improve Collections
Give your organization earlier visibility, better follow-through, and fewer preventable delays.
Many behavioral health organizations struggle with growing accounts receivable because claim issues are discovered too late. Claims Copilot helps teams stay ahead of the work required to keep reimbursement moving.
Reduce aged claims
improve readiness across insurance, authorizations, and documentation alignment.
Recover delayed payments
Identify unresolved payer issues sooner and reduce the amount of time claims spend waiting without meaningful action.
Improve turnaround and clean claim performance
Support stronger revenue cycle performance by reducing preventable breakdowns before and after submission.
A Partnership Approach
Successful revenue cycle management requires operational collaboration.
Many behavioral health organizations struggle with growing accounts receivable because claim issues are discovered too late. Claims Copilot helps teams stay ahead of the work required to keep reimbursement moving.
Before submission:
improve readiness across insurance, authorizations, and documentation alignment.
After submission:
monitor claim status, rejections, denial patterns, and aging across the payer lifecycle.
Operationally:
help teams reduce aging, recover delayed payments, and improve turnaround performance.
Included With DENmaar
Claims Copilot is part of the DENmaar
Behavioral Productivity Platform.
When DENmaar manages your insurance billing, your organization also gains access to the broader operational and clinical
platform that supports scheduling, documentation, reporting, and patient management workflows.
Behavioral Health EHR
Clinical and operational workflows designed around behavioral health documentation and care delivery.
Scheduling
Integrated scheduling workflows to support patient flow, operational visibility, and billing readiness.
Documentation Tools
Clinical notes, treatment plans, and documentation workflows that support stronger operational alignment.
AI-Assisted Notes
Support documentation efficiency while maintaining professional review and oversight workflows.
Treatment Plans
Behavioral health planning tools that connect care planning with documentation and operational workflows.
Clinical Workflows
Support multidisciplinary behavioral health processes with connected operational and clinical workflows.
Reporting
Visibility into productivity, claim performance, and operational trends across the platform.
Patient Management Tools
Connected workflows for patient registration, intake coordination, operational follow-up, and practice support.
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AI Notes Trial
See how DENmaar AI Notes can help your clinicians reduce documentation time while improving
Request a demonstration or pilot program today.
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TESTIMONIALS
WHAT OUR CLIENTS SAY
On behalf of everyone at Meadowlark Counseling Services, I want to extend our sincere thanks for the continued improvements you and your team have made to the DENMaar EMR platform. We have been consistently impressed with both the functionality and user-friendly design of the system, which has made a meaningful difference in our day-to-day operations. The intuitive layout and ease of use have allowed our staff to spend less time navigating the system and more time focusing on client care. The regular updates and enhancements reflect your commitment to meeting the evolving needs of providers in the behavioral health and substance use treatment fields. We genuinely look forward to the new features introduced each month and appreciate how responsive the platform has been to the demands of clinical workflows. We have been so pleased with our experience that we’ve taken the opportunity to recommend DENMaar to other professionals in Pennsylvania who are working in the SUD field. Thank you again for your ongoing support and partnership. We are grateful to be working with a company that truly understands the needs of its users. KIndly, Becky Parks on behalf of the entire team at Meadowlark Counseling Services
I referred one of my colleagues Dr Aaron to you he is just starting g his psychology private practice and looking at where to start. I told him hands down you guys are the best billers and have a great EMR and team. He said he reached out just wanted to let you know!
FANTASTIC job keeping things rolling along with any and all of our billing concerns as well as responding to other issues which may well have been out of your wheelhouse. We are VERY grateful to have you and the crew in our corner.
I appreciate you all so much and DENmaar has been such a blessing Donna to our overall operations and success as an expanding company—allowing us to ultimately operate more efficiently, get our claims paid more consistently, ad stay on top of the critical credentialing piece, among other things. Teamwork does in fact, make the dream work. I’ll loop Chris/Isabella in on this message thread too, as I want All of your team to be aware of how much we appreciate our working relationship with DENmaar
Thank you for your diligence!! I appreciate it so much. Thank you Edwina…
Thank you so much Amy! I will be referring to DENmaar as often as I am asked about credentialing services.
Our Latest Blogs
Impact of AI on Medical Billing and Coding
By Healthcare Tech Outlook
For virtually all of the significant health IT vendors, using AI to understand a customer’s behaviors, predict their expectations, and show the correct data at the right time is a top priority.
FREMONT, CA: For several, it is hard to envision the future of Revenue Cycle Management (RCM) in the Artificial Intelligence (AI) era. How does this technology accelerate the business cycle and affect healthcare back-office day-to-day work? It is unknown when AI will be the industry norm at this stage, but there is some speculation about potential advantages that AI can soon bring.
AI Will Simplify Workflows for Medical Billing
Deep learning of the users’ interaction with Electronic Health Record (HER) and billing applications may have the most critical effect on a medical biller’s everyday life. For virtually all of the significant health IT vendors, using AI to understand a customer’s behaviors, predict their expectations, and show the correct data at the right time is a top priority. The ability to retrieve and manipulate information instantly has the power to significantly minimize labor spent on manual billing activities and allow workers to make smarter choices about the next steps to overcome denials.
Enhanced Medical Coding Precision
Its capacity to analyze text and the spoken word would be a core feature of AI. For procedures and diagnosis, systems can learn the language and assign specific codes. After code set updates, this functionality will have a profound effect to ensure the correct codes are used and paperwork is compliant, reducing the change that arises with updates to coding. If AI had been included, think how much simpler the transition from ICD-9 (International Classification of Diseases, Ninth Revision) to ICD-10 (Tenth Revision) would have been.
Immediate Pre-Authorizations
Its capacity to draw assumptions and forecasts will be one of the most critical facets of AI. It can take hours now, or even days, to get a payer’s pre-authorization. Future systems will interpret clinical data from a patient and assess the medical need of treatment within a few seconds. The good news for medical billers is that an automated mechanism will verify that authorization has been received and its related data collected, significantly minimizing (or eliminating) pre-authorization denials due to the absence of an authorization number.
Clinical Data
Webinar: Collaborative Care in Behavioral Health
Nearly one in five adults in the United States is affected by one or more mental health conditions. Unfortunately, for those living with common mental illnesses such as depression or anxiety, care is rarely coordinated across the entire care team to yield long-term improvement and mental health outcomes.
Join our webinar to explore the unique challenges in managing behavioral health and the benefits that collaborative care can deliver to your customers.
Collaborative Care: The New Model for Solving the Challenges of Fragmented Care in Behavioral Health
Wednesday, February 24, 2021 |12:00 – 12:30 PM EST
Our host, Colin Banas, MD, MHA, Chief Medical Officer of DrFirst will cover:
- • The importance of uniting the care and family team (CFT)
- • The necessity of marrying care collaboration with telehealth in a single, complete, and secure platform
- • The operational, administrative, and clinical efficiencies that will save your clients time and money
Colin Banas, MD, MHA,
CMO Medical Officer, DrFirst
Filling Up Your CAQH Profile without Issues
Getting on insurance panels requires one very crucial step. We are of course talking about CAQH registration. A provider needs to complete his CAQH profile to even entertain the idea of getting onto an insurance panel.
CAQH aka council of affordable quality healthcare is a program that allows insurance companies to use a single application system for all kinds of credentialing. Today, over 900 clinics, health plans and healthcare organization are estimated to be using it. They require a practitioner to complete their CAQH profile by filling up the CAQH attestation form mandatorily in order to submit their application.
The process although very simple in its premise, can be a little confounding for some to follow. That’s why we have decided to guide you through the entire process to avoid any room for doubts, so you can have a hassle free credentialing experience.
1 – Getting a CAQH Number
Many start their credentialing process before even approaching the CAQH profile. Chances are high that your insurance company is already using CAQH. You can check the list of participating organizations on the CAQH website to confirm this. If a particular company is using CAQH, then they send you a CAQH id number, probably in a letter via mail. You should wait for at least 2 weeks to ensure your application is received by the panel. If you still don’t receive it, then it’s time to give your insurance company a call.
Alternatively, you can choose to register yourself on the CAQH website. As such, you will receive your CAQH number via email. Do not lose this number as you will need it throughout the credentialing process. You need it to fill up your application and re-attest your information.
2 – Have all your information ready
The CAQH process is tedious and time consuming. Nobody expects you to finish it in one sitting as it can literally remove hours from your life. One way to speed up the process however is to make sure you have all the information and material you will need for processing ready.
Here’s a list of all the things you’ll need before you start filling up the CAQH attestation form
- • Personal information
- • Education and training information’
- • Practice location information with certification, address, contact detail, practice type etc. mentioned
- • Board certification
- • Disclosure of malpractice history
- • Malpractice insurance information
- • Work history
And the materials you’ll need are as follows
- • Resume
- • State licenses
- • Malpractice insurance policy
- • UPIN, NPI and other ID numbers
- • DEA certificate (if necessary)
- • CDS certificate (if necessary)
Make sure all your information is accurate. Your resume should be formatted with the correct date format, which is MM/YYYY, and there should be no gaps in employment. Failure to abide by any of the above requirements can lead to the rejection of your application. So do not rush into your application. Take your time to make sure everything is in order. Remember, errors can cost you way more time and money. Finally, you need to have scanned copies of all the required material in handy as you will be required to upload it.
3 – Start Working on Your Profile
Once you have all the information you need, it’s time to start completing your CAQH profile. We recommend you only undertake this task online. Doing this physically means tackling a dozen pages long application form that only prints correctly in color and cannot be transferred conveniently without a data entry professional to assist you.
Like we said before, you simply cannot complete the profile in one sitting. So take your time, save your progress and continue later. Once you’ve finished the profile click ‘next’. The website will ask you to verify your information once and ask you to attest whether all the information you provided is accurate.
Once you attest, you will receive a message that your profile is complete. Once you’re done, you have a choice to make. You need to make a decision as to who gets to access your profile, whether you will allow any insurance company that exhibits interest in having you on your panel, or choose manually which insurance company gets to see your profile and which company doesn’t.
In our opinion, the first option is the best as it will open you to more possibilities of being invited on multiple insurance panels. Make sure to never lose your application information as you will be required re-attest to the information once in a while, or on a quarterly basis. Respond to the request to re-attestation quickly as not doing so can result in insurance companies refusing to pay your claims.
Our Partners
Ready to get started?
Feel free to reach out if you have any questions.
