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Reliable Group

For providers

Auth approved. Claim denied. Cash stuck in A/R.

We find where staff hours and cash stall, from scheduling to payment, then rebuild and run it as your AI operating partner.

Find your segmentHow we start

Who it is for

Find your segment.

For organizations that deliver care and run their own revenue cycle. If you sell billing or RCM services to providers, see RCM companies. Hospital systems by sponsor introduction.

  • Multi-site physician groups

    Often first: A/R follow-up, benefit rechecks or the denial worklist
    Measured by: Days to billable, denial aging, touches per claim

  • FQHCs and community health centers

    Often first: Medicaid renewals, sliding fee or PPS and wraparound billing
    Measured by: Coverage gaps, wrap reconciliation, denials

  • Ambulatory surgery center chains

    Often first: Booking packets, implant invoices or carve-out payments
    Measured by: Cases held before billing, carve-outs paid

  • Dental service organizations

    Often first: Benefit breakdowns, attachments or EOB posting
    Measured by: Claims held for attachments, unposted EOBs

  • Home health and hospice

    Often first: Referral intake, NOA and NOE timing or unsigned orders
    Measured by: Billing holds, late notices, intake turnaround

  • Behavioral health and infusion

    Often first: Authorized units or drug billing
    Measured by: Units used against auth, denials by reason

One claim, auth to payment

Who takes each step, and who approves it.

Each hop between an approved auth and a posted payment is paid staff time while cash waits.
  1. Benefits and auth rules checked before the visitAutomation
  2. Auth packet built from EHR notes and submittedAI, person checks
  3. Billed code matched to the approved authAutomation
  4. Final codes selected by your certified codersYour staff decide
  5. Claim status chased; rejections routed to an ownerAutomation
  6. Denial appeal drafted; your team decides whether to send itAI, person checks
  7. Payment posted and underpayments flaggedAutomation
Stays with your licensed staff: Documentation, medical necessity, final code selection and peer-to-peer calls stay with your clinicians and certified coders.

Medical-supply distribution

Healthcare services

ProKure Digital: a 20-plus person India team in six months

A PE-backed medical-supply procurement and distribution company serving hospitals, FQHCs and clinics on federal program pricing, growing fast. Reliable Group hired the leadership layer first, stood up a dedicated team of 20-plus people in India inside Reliable Group's own entity, and consolidated a freelancer network across four countries into one governed organization, in six months.
20-plus people in six months
A dedicated India team of 20-plus people, leadership hired first, stood up in six months.
realized
Not revenue cycle work, and not an automation result. We have no published provider result yet.
What transfers: Hiring leaders first and standing up a governed team, which running your queues requires.
See the measured results

How we handle regulated data

Design posture, not certification

Trust Center and documentation
BAA
Where a department handles protected health information, we execute a business associate agreement before Trace is installed or any data is accessed.
HIPAA
We execute a Business Associate Agreement before any engagement that touches PHI, and PHI is accessed only inside client-controlled systems by named individuals. Our first healthcare engagement under BAA is in progress.
Posture
Ready and aligned describe design posture, not certification. Reliable Group does not currently hold SOC 2 or ISO 27001 certification; our teams operate inside client-certified environments under client controls.
Notice
We deploy Trace only after your organization has given team members the written notice required in your state; we provide the notice template.
Last reviewed October 2026

Questions provider leaders ask

  • We measure one patient access or revenue cycle department, rebuild the queues that take the most staff hours, and run them inside your organization: rules-based automation first, AI where documents need reading, your people for judgment. It starts with a fixed-fee discovery.

  • Tools cover the steps they were bought for, and vendors run their own process. We measure where your staff hours still go around them, then rebuild those queues in your systems, keeping tools that work. If the map shows nothing worth rebuilding, it says so.

  • A fixed fee for a six to eight week discovery of one department. It ends in a workflow map and a fixed-price proposal for the first build. The build is priced separately, with no obligation to continue afterwards.

  • Neither. Your PM system, EHR, clearinghouse and payer portals stay as they are, under your logins and access controls. We build against what you run today, whether Epic, athenaOne, NextGen, eClinicalWorks or a mix left over from acquisitions, one department at a time.

  • No. Clinical documentation, medical necessity, final code selection and peer-to-peer calls stay with your clinicians and certified coders. We work the administrative queue around them: the verification queue, the avoidable denial, the stalled credentialing file.

  • Yes. We execute a business associate agreement before Trace is installed or any data is accessed. PHI is accessed only inside client-controlled systems by named individuals. Any team running the work is managed by us, in your entity or ours, where your payer contracts allow.

Next step

Stop guessing how your operation works.

Start with a fixed-fee discovery: one department, six to eight weeks, a workflow map and a fixed-price proposal for the first build.

Talk to usHow we start