Medical Billing Services
Wherever claims touch payers, human judgment still wins.
We’ve resolved claims across every major payer. Consistent across billers and payer edge cases. Your edge cases aren’t edge cases to us.
Charge capture, claim submission, payment posting, denial follow-up—revenue cycle management is a relentless stream of decisions. Automation handles volume, but it doesn’t handle payer-specific logic, edge cases, or the judgment calls that determine whether you get paid.
Before you outsource anything, we’ll walk through your current operations with you and assess:
Where automation genuinely helps
Where human judgment is required
Whether outsourcing makes sense & how to do it cleanly
The Real Problem
Most teams don’t struggle to send claims. They struggle to get paid.
Automation generates speed, but it also generates risk
Coding mismatches trigger denials that pile up unworked
Payer rules change faster than systems update
Appeals require documentation that’s scattered across systems
Revenue leakage hides in claims no one has time to follow
When reimbursement matters, “submitted” isn’t the same as “collected.”
Where Human-Led Operations Still Win
Charge Capture & Coding Review
Claim Submission & Scrubbing
Payment Posting & Reconciliation
Denial Management & Appeals
Accounts Receivable Follow-Up
Your Operations May Be Different—That’s Fine
Most of our client work is bespoke. The categories above reflect our core expertise, but we’re always open to custom requirements. If your operations share the same fundamentals—high volume, real stakes, and the need for human follow-through—we should talk.
What Assivo Actually Does
Assivo provides managed revenue cycle operations, with 99.7% accuracy rates, dedicated teams across four global offices, and fixed-price structures aligned to outcomes.
We take ownership of:
Process Design & Documentation
Dedicated, Trained Offshore Teams
Multi-layer Quality Assurance
Clear SLAs, Reporting, & Escalation
Strategic Human-in-the-Loop Governance
Automation scales the work. Humans own the result.
Three principles guide every engagement
Humans where payer logic, appeals, and exceptions require judgment
Automation where claim scrubbing and submission make sense
Clear ownership when something breaks
Quiet execution. Clear ownership. No surprises.
Why Assivo
Founded in 2017, Assivo applies the rigor of institutional finance and strategy consulting to outsourced operations, with a focus on clear accountability, fixed-price commercial structures, and outcome-oriented delivery. As an independent, privately held firm, Assivo structures partnerships around client priorities, emphasizing continuity, transparency, long-term relationships, and client integrity.
Accuracy-first Execution
Every deliverable passes through multi-layer quality review before it reaches you. We measure in defect rates, not just throughput.
Strategic Human-in-the-Loop Governance
Automation handles volume. Human judgment handles exceptions, edge cases, and the decisions that affect outcomes.
Managed Teams, Not Seat-based Staffing
You get a trained team that learns your processes, not a rotating pool of contractors. Our annual turnover is ~15%—a fraction of the 50% industry average. Continuity drives quality.
Offshore Efficiency, Onshore Standards
Our global teams operate under U.S.-caliber management, documentation, and accountability structures.
Clear Accountability from Intake to Output
One point of contact. Defined SLAs. Transparent reporting. When something goes wrong, you know who owns the fix.
Trusted by America’s Leading Operators














Before you outsource anything, we’ll walk through your current operations with you and assess:
Where automation genuinely helps
Where human judgment is required
Whether outsourcing makes sense & how to do it cleanly