Our Core Operational Pillars
Operational Efficiency, Handled Remotely.
Tailored administrative solutions designed to integrate seamlessly into your clinic’s existing workflows, EHR platforms, and billing portals.
Tier 1: Fractional Support
Referral & Payer Essentials
Perfect for smaller practices looking to offload basic, time-consuming administrative overhead and secure clean registrations.
Payer Portal Operations: Handling patient eligibility verification and secure network communication through platforms like Availity to prevent front-end registration errors.
Specialized Referral Routing: Full management of inbound and outbound patient referrals utilizing local healthcare platforms including Infina Connect and Proficient Health.
TriCare Expert (Humana Military): Deep experience navigating the rigorous, specific authorization and documentation requirements for TriCare/Humana Military lines of business to ensure clean approvals.
Tier 2: Operational Core
Prior Authorization Pipeline
Designed for high-volume clinics looking to conquer provider burnout, eliminate backlog bottlenecks, and accelerate patient care.
Includes Everything in the Essentials Tier
Dedicated Pipeline Management: End-to-end processing of complex prior authorization backlogs utilizing digital platforms like CoverMyMeds.
High-Tech Radiology Authorizations: Specialized experience managing strict insurance clinical criteria for advanced imaging (including MRIs, CT scans, and PET scans) across major utilization portals like eviCore and RadMD (Evolent).
Clinical Documentation Gathering: Reviewing chart notes to proactively compile the precise clinical criteria required by commercial and government payers, minimizing time-consuming peer-to-peer reviews.
Tracking & Resolution: Aggressively following up on pending submissions to resolve insurance roadblocks before they impact patient care or medication compliance.
Medical Order Documentation: Streamlining out-of-office orders by managing the clinical documentation gathering and submission workflows for Cologuard screenings and Durable Medical Equipment (DME) to prevent order rejections.
Tier 3: Full Practice Integration
EHR Integration & Practice Logistics
A premium, all-inclusive solution providing clinical-grade administrative support to completely optimize your daily operations and maximize practice revenue.
Includes Everything in Tiers 1 & 2
Care Transitions & Hospital Discharge Retrieval: Proactively tracking and pulling hospital discharge documentation from regional network portals (such as Epic Care Everywhere, WakeMed Link, or UNC CareLink) so your team can capitalize on time-sensitive Transitional Care Management (TCM) visits.
Patient Result Notifications & Callbacks: Securely managing the provider’s signed-off laboratory and radiology queues. Remotely contacting patients to communicate normal findings, logging correspondence in the EHR, and escalating clinical flags per practice protocol.
Remote Phone Coverage: Offering flexible, dedicated block coverage (morning and/or afternoon sessions) to manage inbound phone surges, schedule appointments, and absorb front-desk stress.
Medication Refill Routing: Efficiently reviewing incoming pharmacy refill requests within the EHR, cross-referencing patient charts for compliance, and routing formatted requests directly to the provider’s queue for signature in strict accordance with your practice’s custom clinical protocols.
Need Help with Home Health Only?
Not looking for a full operational package, but drowning in documentation? We offer standalone Home Health Order Management to handle your face-to-face (F2F) tracking, CMS-485 forms, and agency coordination. Contact us for custom pipeline pricing or flat-rate per-order packages.
You don’t have time to train a remote team on how to use healthcare software. CoreMed Solutions steps in on day one with hands-on, expert proficiency in the tools your practice relies on:
The Systems We Live In.
EHR / PM Platforms: ReliMed & major clinical systems
Clearinghouses & Portals: Availity, CoverMyMeds, Infina Connect and payer-specific networks
Communication: Secure, HIPAA-compliant messaging and phone systems
Select an elite, volume-capped a la carte pipeline tailored to clear your single biggest administrative bottleneck.
Flexible Support Structures
Need Targeted Relief? Explore Our A La Carte Solutions
Not ready for a full weekly block? No problem. CoreMed Solutions offers high-efficiency, volume-capped service pipelines designed to eliminate your practice’s single biggest administrative bottleneck. Outsource your primary workflow headache and get your nights back.
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Stop logging in at night to a mountain of unstructured faxes, lab results, and diagnostic scans. CoreMed systematically reviews your inbound document queues daily, correctly indexing, naming, and tagging files straight into the patient chart according to your exact practice protocols.
Small/Solo Practice Tier: $450 / month (Up to 400 incoming document pages/month)
Mid-Sized Practice Tier: $800 / month (Up to 900 incoming document pages/month)
High-Volume / Urgent Care Track: $1,500 / month (Up to 2,000 incoming document
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CoreMed manages your routine patient notifications to clear out your inbox and protect care continuity. We review laboratory, pathology, and diagnostic imaging results after provider sign-off, securely communicating findings via patient portal or phone using your explicit directives.
Small/Solo Practice Tier: $400 / month (Capped at 50 notifications/month)
Mid-Sized Practice Tier: $750 / month (Capped at 110 notifications/month)
High-Volume / Urgent Care Track: $1,200 / month (Capped at 200 notifications/month)
Our Safety Protocol: We exclusively communicate routine, normal, or stable negative findings. If a critical, abnormal, or sensitive value is flagged, we instantly escalate it to your priority queue and proactively coordinate with your front desk to schedule the patient for a face-to-face or telehealth follow-up visit—ensuring patient safety while driving billable E&M revenue back to your practice.
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Accelerate your daily medication renewal requests. Our team audits your inbound pharmacy and patient refill queues, verifies patient visit compliance, checks for up-to-date diagnostic monitoring labs, and prepares a clean request with a clinical summary note right on the provider's desk for single-click authorization.
Small/Solo Practice Tier: $400 / month (Capped at 75 refill requests routed/month)
Mid-Sized Practice Tier: $750 / month (Capped at 150 refill requests routed/month)
High-Volume / Urgent Care Track: $1,200 / month (Capped at 300 refill requests routed/month)
Our Safety Protocol: CoreMed operates strictly in an administrative capacity to prepare lines based on standing medical protocols. Our personnel do not possess clinical prescribing authority, and we strictly bypass all controlled substances (Schedule II–V medications).
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Eliminate the hours your on-site staff waste on the phone or stuck in portals waiting for insurance approvals. We handle full execution, documentation submission, and aggressive follow-up for medications, medical devices, and advanced imaging.
Standard Care Line (Primary Care / Peds): $350 / month (Capped at 15 completed PAs/month. Overage: $25/PA)
High-Volume Specialty / Urgent Care Track: $600 / month (Capped at 20 completed PAs/month. Overage: $35/PA)
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Stop losing track of outbound referrals. We process the order, securely transmit clinical documentation to the specialist network, coordinate patient placement, and actively retrieve the specialist's consult note to index back into your EHR for provider sign-off—completely closing the institutional care-coordination loop.
Standard Care Line: $300 / month (Capped at 25 completed referral loops/month. Overage: $15/referral)
High-Volume Specialty Track: $500 / month (Capped at 30 completed referral loops/month. Overage: $20/referral)
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Exclusive to Urgent Care & Specialty Industrial Clinics. We absorb the complex documentation overhead of workplace injury files, including processing state-mandated employer forms, tracking restricted duty clearances, and updating corporate points of contact after every patient visit.
Flat Retainer: $850 / month (Capped at 35 active case-files managed simultaneously. Overage: $25/case)
All a la carte services require unique, independent EHR login credentials for CoreMed personnel to maintain transparent audit logs. A la carte options grant CoreMed administrative access exclusively to the specific functional queue required to execute the chosen service and strictly exclude live patient phone reception, live triage, or front-desk check-in workflows
A Seamless Extension Of Your Team
1. Discover: We hop on a brief call to assess your practice’s specific bottlenecks, volume, and current software stack.
2. Integrate: We securely onboard into your system, adopting your clinic's specific SOPs and protocols.
3. Optimize: We take over the administrative heavy lifting, giving your providers and in-office team their time back.
Ready To Optimize Your Practice Workflows
Let’s build a custom support structure that fits your clinic's unique footprint.