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. With 25+ years of experience, we manage the full revenue cycle for healthcare practices in San Diego and across California. 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
San Diego is one of California's most active healthcare markets, with major health systems, a growing ASC sector, and a large military-affiliated patient population. Practices in San Diego deal with commercial carriers, Medicare, Medi-Cal, and TRICARE, each with different reimbursement rules and authorization requirements. Leaving any of these unmanaged means leaving money behind.
Cosentus provides end-to-end revenue cycle management for practices in San Diego, CA. 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 specific billing complexity.
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 San Diego
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, Medicare, and TRICARE all follow different rules. Our team submits and follows up on claims against California-specific payer behavior every day, including the military payer nuances common in San Diego.
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.
National Reach. Local Focus.
Cosentus manages revenue cycles for practices across the country. Your account gets a named team that understands the San Diego healthcare market and the California payer landscape.
Specialties We Serve in San Diego
Anesthesia Billing in San Diego
Orthopedic Billing in San Diego
Pain Management Billing in San Diego
ASC Billing in San Diego
Behavioral Health Billing in San Diego
Multi-Specialty Billing in San Diego
Frequently Asked Questions