Gastroenterology

Gastroenterology Billing Cash Flow

Your endoscopy claims sit 30 to 90 days under commercial bundling rules and medical-necessity review while you cover anesthesia, facility, and staff costs.

The problem

Endoscopy claims wait while reviews run.

Screening-versus-diagnostic colonoscopy adjudication is inconsistent across payers, and even cleanly submitted claims sit well beyond 30 days, up to 90, as commercial bundling rules and medical-necessity reviews work through.

While you wait, you are covering anesthesia, facility, and staff costs out of pocket.

Gastroenterology payers, days to pay

UnitedHealthcare75 days
Anthem62 days
Cigna54 days
Aetna45 days

Commercial gastroenterology claims routinely sit well beyond 30 days, up to 90, while bundling rules and medical-necessity reviews run.

Service-line purchasing

Purchased at the code level, not blended.

Copay prices each claim individually at the service line, using how that specific code performs with your payor, so a 45385 is valued on its own merits rather than a portfolio average.

Every eligible gastroenterology code is funded the next business day.

Explore clinical specialties

Codes Copay purchases

45378Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)Eligible for purchase
45380Colonoscopy, flexible; with biopsy, single or multipleEligible for purchase
45385Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueEligible for purchase
43239Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleEligible for purchase
How it works

How Copay works for your practice.

Your billing team submits claims exactly as they do today. Nothing changes except when you get paid. Copay reads claim data at the clearinghouse layer, so there is no new software and no retraining.

Connect once, keep your EHR and payor relationships, and let eligible claims fund automatically.

See how it works
01

Connect

Connect your billing software once. Takes minutes, no IT ticket.

02

Submit

Submit claims through your existing EHR exactly as you do today.

03

Get paid

Capital lands in your account the next business day, by ACH.

Non-recourse

A bundled claim is our problem, not yours.

Non-recourse means a denied eligible claim is Copay's loss, not yours. When a polyp-removal claim is held under a bundling review or underpaid after the fact, your capital is not clawed back.

See how non-recourse works

Bundled claim, absorbed

Claim 45385

Cigna · $642.00

Bundling review

A polyp-removal claim under bundling review is exactly the wait Copay removes.

Funded the next business day, before the payor ever resolves the bundling review.

Common questions

Gastroenterology billing, answered.

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

Copay purchases eligible commercial gastroenterology claims, including those billed to UnitedHealthcare, Anthem, Aetna, Cigna, Humana, and Blue Cross Blue Shield plans.

No. Copay advances capital on eligible claims regardless of how slowly the payor adjudicates. Commercial bundling rules and medical-necessity reviews on endoscopic procedures are exactly the cash flow gap Copay closes.

Copay purchases the eligible claim at the service line and pays the next business day. If a payor reclassifies a screening colonoscopy as diagnostic or underpays after the fact on an eligible purchased claim, Copay absorbs the loss with no clawbacks against your practice.

No. Your billing team submits claims exactly as it does today through your existing EHR, billing software, or clearinghouse. Eligible claims are funded the next business day.

How Copay works for gastroenterology 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 code45385

Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

PayerCigna
Billed$642.00

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

$7,200

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 gastroenterology claims the next business day.

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