Dermatology

Dermatology Billing Cash Flow

A high volume of mixed medical and surgical claims sits in medical-necessity review for 30 to 90 days while UnitedHealthcare and Anthem take weeks to pay.

Built for dermatology volume

A high volume of mixed claims, funded as one batch.

Dermatology runs on a high volume of mixed medical and surgical claims, and biopsy and pathology lines face medical-necessity review that pushes payment past 30 days, up to 90. A lot of lower-and-mid-dollar cash sits in adjudication at once. Copay purchases the whole eligible batch and pays the next business day.

Today's eligible claims

$0

Funded next business day
99213$96
11102$133
17000$170
11402$115
17311$152
99213$97
11102$134
17000$171
11402$116
17311$153
99213$98
11102$135
17000$172
11402$117
17311$154
99213$99
11102$136
17000$173
11402$118
17311$155
99213$100
11102$137
17000$174
11402$119

Turnaround

Next business day

From submitted batch to deposited capital.

Non-recourse

Claim denied

A denied eligible claim is Copay's loss, not yours.

How it works

How Copay works for dermatology.

01

Connect once

Connect your billing software in minutes. No IT ticket, no new system for your front desk.

02

Submit your batch

Submit the day's claims through your existing software, exactly as you do today.

03

Get paid

Copay purchases the eligible claims and deposits the capital the next business day, by ACH.

Service-line purchasing

The dermatology codes Copay purchases.

Copay prices each claim individually at the service line, from established-patient visits and biopsies to excisions and Mohs micrographic surgery.

Every eligible code is funded the next business day, including the biopsy and pathology lines that usually wait out medical-necessity review.

See the full process

Evaluation, biopsy, and destruction

99213Office or other outpatient visit for the evaluation and management of an established patient, low level of medical decision making
11102Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
17000Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion

Excision and Mohs surgery

11402Excision, benign lesion including margins, except skin tag, trunk, arms or legs; excised diameter 1.1 to 2.0 cm
11602Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
17311Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding, microscopic examination of specimens by the surgeon, and histopathologic preparation; head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks
No fixed cap

Your capital scales with claim volume.

Dermatology runs at steady high volume month after month, mixing medical visits with surgical and Mohs work. Copay purchases every additional eligible claim at the same next-business-day terms, with no fixed cap, so cash keeps pace with your throughput instead of lagging weeks behind it.

How claims purchasing works

Claim volume by month

CopayFunded
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Common questions

Dermatology billing, answered.

No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible dermatology claims outright and deposits funds the next business day, with no debt and no repayment schedule.

Dermatology bills a high volume of mixed medical and surgical claims at once, so a lot of lower-and-mid-dollar cash sits tied up across many encounters. Copay purchases your eligible claims as one batch and funds them the next business day, so the whole batch turns into capital instead of waiting weeks to adjudicate one by one.

Yes. Biopsy and pathology claims often face medical-necessity review that pushes payment past 30 days, up to 90. Copay prices and purchases each eligible claim at the service line and pays the next business day, so you do not wait out the review period to access the cash.

Copay purchases eligible claims billed to the commercial plans dermatology practices see most, including UnitedHealthcare, Anthem, Aetna, Cigna, Humana, and BlueCross, as well as Medicare and Medicaid managed care plans.

Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased dermatology claim is denied or downcoded after the fact, Copay absorbs the loss with no clawbacks against your practice.

How Copay works for dermatology practices

From submitted claim to funded account.

While insurance takes 30 to 90 days, Copay moves in one.

Step 01 · Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code17311

Mohs micrographic technique, first stage, up to 5 tissue blocks, of the head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels

PayerAnthem
Billed$638.00

Step 02 · Verify & Price

We verify and price in real time

Copay checks payor history and prices the claim at the CPT level.

Underwriting in progress

Step 03 · Approved

Advance approved

Capital is approved and scheduled for next business day deposit.

Advance Approved

$5,600

Net advance

Funds wired to your account, next business day

Step 04 · Funded

Capital in your account

While the payor takes 30 to 90 days, you already have your capital.

Your account

$0

Available balance

Copay reconciles automatically when the payor pays. You do nothing.

Get paid on your dermatology claims the next business day.

Copay purchases your eligible dermatology claims. No loans, no personal guarantee, no workflow change.