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.
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
Commercial gastroenterology claims routinely sit well beyond 30 days, up to 90, while bundling rules and medical-necessity reviews run.
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 specialtiesCodes Copay purchases
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 worksConnect
Connect your billing software once. Takes minutes, no IT ticket.
Submit
Submit claims through your existing EHR exactly as you do today.
Get paid
Capital lands in your account the next business day, by ACH.
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 worksBundled claim, absorbed
Claim 45385
Cigna · $642.00
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.
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.
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
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
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
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.