Eligibility Verification
Elly verifies insurance and benefits before every appointment, eliminating eligibility denials at the source.
INSURANCE VERIFICATIONAbout Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. Headquartered in Irvine with 25+ years of experience, we manage the full revenue cycle for healthcare practices across Orange County and the country. From coding to collections, every step is connected through Zeus AI and managed by people who stay in your specialty.
>98%
Net Collection Rate
48hrs
Charge Lag
>99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
Orange County is home to a dense network of hospitals, ambulatory surgery centers, and specialty practices spanning Irvine, Anaheim, Santa Ana, Huntington Beach, and beyond. Major health systems like Providence St. Joseph, MemorialCare, Hoag, and Kaiser Permanente operate across the region, creating a competitive market where billing accuracy and collections speed directly affect growth.
Cosentus is headquartered in Irvine and provides end-to-end revenue cycle management for practices across Orange County. We manage everything from credentialing and eligibility to coding, claims, denials, patient billing, and collections. Our team is organized by specialty, so the people working your account understand your coding rules, your payers, and your workflow.
10 Steps. One Team. Every Dollar.
INSURANCE VERIFICATIONPrior Authorization
Paige tracks every open authorization, preventing procedural delays and timely filing lapses.
AUTHORIZATIONSPre-Service Collection
Priya contacts patients 3–7 days before service with verified cost estimates. 30–40% higher collection rates.
PRE-SERVICECoding & Capture
AAPC-certified coders ensure accurate CPT and modifier selection. Connie assists with code suggestions and accuracy checks.
CHARGE CAPTUREClaim Scrubbing & Submission
Payer-specific edits applied before every submission. Clean claims. Fast payments.
Payment Posting & Reconciliation
Ariel tracks aging claims and flags payment delays. Underpayments escalate to specialists for resolution.
PAYMENT POSTINGAR Follow-Up & Denials
Chris contacts payers proactively. Human denial experts appeal with clinical rationale. 95%+ success.
AR & DENIALSPatient Billing & Collections
Cindy handles balances in 50+ languages with real-time payment processing and payment plan options.
PATIENT COLLECTIONSCredentialing & Contracting
Provider credentialing, re-credentialing, and contract analytics to protect reimbursement rates.
Reporting & Analytics
Real-time dashboards by provider, payer, procedure, and denial category. Weekly reviews and QBRs included.
What We Manage for Practices in Orange County
Credentialing and payer enrollment
Eligibility verification and prior authorization
Medical coding by specialty-trained coders
Claim scrubbing and same-day submission to 1,400+ payers
Denial management with root cause review
Appeals with clinical evidence and payer escalation
AR follow-up and collections
Patient billing, payment plans, and support in 50+ languages
Live analytics and reporting by provider, payer, and procedure
Why Local Knowledge Matters
We Know California Payers
California commercial carriers, Medi-Cal, and Medicare all have distinct rules. Our team submits and follows up on claims against California-specific payer behavior every day.
Organized by Specialty
We don't run a shared billing pool. Your account is managed by a team that works your specialty full time. Anesthesia, orthopedics, pain management, ASCs, behavioral health, multi-specialty. Each with dedicated coders and directors.
Headquartered in Orange County.
Cosentus is based in Irvine. This is our home market. We manage revenue cycles for practices across the country, and your account gets a named team that knows the Orange County healthcare landscape inside out.
Specialties We Serve in Orange County
Anesthesia Billing in Orange County
Orthopedic Billing in Orange County
Pain Management Billing in Orange County
ASC Billing in Orange County
Behavioral Health Billing in Orange County
Multi-Specialty Billing in Orange County
Frequently Asked Questions