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Tennessee Medical Billing & RCM

Maximize revenue. Minimize the noise. Full-service billing, denials, A/R, and credentialing for Tennessee practices, and only Tennessee practices, from a team based in Cleveland.

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WHAT WE DELIVER

Two services. One Tennessee partner.

Revenue Cycle Management

Full-service RCM powered by Waystar + AI automation, backed by real experts who know Tennessee payers.

Claims management & denial prevention

Proactive A/R follow-up & cash acceleration

Transparent monthly reporting

Same-day support from a dedicated team

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Provider Enrollment

Complete credentialing, recredentialing, and payer contracting, included at no extra cost for RCM clients.

Full credentialing & recredentialing

Payer contracting & negotiations

Contract rate analysis using Transparency data

Fast turnaround with dedicated support

Learn More

Also see: Tennessee Provider Credentialing Guide

WHAT’S INCLUDED

Every part of the revenue cycle, handled.

Claims submission

Clean claims out the door through Waystar, with edits caught before the payer sees them.

Denial management

Every denial is worked, not filed. Appeals, corrected claims, and root-cause fixes.

A/R follow-up

Aged balances are worked on a schedule so cash doesn’t sit because a claim was ignored.

Old A/R from your previous biller

When you switch, we take over the open balances your last biller left behind and work them, not just new claims going forward.

Eligibility & benefits

Coverage is checked before the visit so you aren’t billing into a dead policy.

Reporting

Monthly performance you can actually read: collections, denials, and what’s still open.

TENNESSEE PAYERS

Built around the payers your patients actually carry.

A national biller sees Tennessee as one state in fifty. We only see Tennessee. That means the payer mix your practice deals with every week:

Medicare

Palmetto GBA, the Jurisdiction J (JJ) Medicare Administrative Contractor for Tennessee.

TennCare MCOs

BlueCare, Wellpoint, and UnitedHealthcare Community Plan.

Commercial

BlueCross BlueShield of Tennessee (BCBST), Cigna, Aetna, Humana, and Ambetter.

Not every plan fits every specialty. On the consult, we’ll look at your actual payer list.

WHERE WE WORK

Tennessee practices. Local where it counts.

We serve independent practices and small groups across Tennessee. Most day-to-day work happens by phone, email, or in your EHR. For Cleveland- and Chattanooga-area practices, in-person meetings are available.

Medical Billing in Cleveland, TN

Our home base, for Cleveland and Bradley County practices.

Medical Billing in Chattanooga, TN

For Chattanooga and Hamilton County practices.

Everywhere else in Tennessee

Same team, same pricing, same same-day answers.

THE CRUSADER DIFFERENCE

Built in Cleveland. Built for practices.

Crusader Claims is a Tennessee RCM firm based in Cleveland. We handle billing, denials, A/R, and credentialing so independent practices can collect what they’re owed without standing up a back office. Founded in 2017 by Joe Kugler and Jon Chapman, who saw claims go unpaid, credentialing lag, and national billers who didn’t know the payers. We built Crusader Claims to be the opposite of that.

Real People, Same-Day Responses

No ticket portals. No waiting. Reach a real team member by phone, email, or EHR and get answers the same day.

Credentialing included

Credentialing, recredentialing, and contracting are part of the RCM engagement, so new clinicians don’t sit out-of-network waiting on a separate project.

Transparent Tiered Pricing

4.5%–7.5% based on your monthly collections. No hidden fees. No surprises. Ever. See pricing.

Helpful for your front desk: Front Desk Resources.

10+

Years of RCM Expertise

4.5–7.5%

Transparent Tiered Pricing

Same-Day

Real Human Responses

Included

Credentialing & Contracting

FAQ

Questions Tennessee practices ask before they switch.

Do you work with practices outside Tennessee?

No. We serve Tennessee practices only. That focus is the point: our team works Tennessee payers, including Palmetto GBA, BCBST, and the TennCare MCOs, every day.

We already have a biller. What happens to our old A/R?

We take it over. When you switch, we pick up the open balances from your previous biller and work them alongside your new claims, so money from before the transition isn’t written off by default.

How much does medical billing cost?

7.5% of monthly collections up to $50K, 6.5% from $50,001 to $100K, 5.5% from $100,001 to $250K, and 4.5% above $250K. The rate is based on collections, not charges. No setup fee, and credentialing is included for RCM clients. See full pricing.

Is credentialing really included?

Yes. Credentialing, recredentialing, and contracting are part of the RCM engagement. There isn’t a separate enrollment invoice. Read our Tennessee credentialing guide.

Can we meet with your team in person?

Yes, if you’re in the Cleveland or Chattanooga area. Practices elsewhere in Tennessee work with us by phone, email, and in your EHR, with the same same-day response.

Do we have to change our EHR?

No. We work with your existing system and run billing on Waystar. Your clinicians keep their workflow.

Ready to strengthen your revenue cycle?

Join practices across Tennessee that trust Crusader Claims to handle their billing so they can focus on patient care. Visit us at 1025 Peerless Xing NW, Cleveland, TN 37312, call (423) 777-8146, or email hello@crusader.claims.

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