Three payers, one clinic
Employer contracts, workers' comp carriers and commercial insurance all flow through the same front desk. Routing each service to the correct payer is the entire game.
Specialties › Occupational & Employer Health
Occupational Health Billing Services
Occupational health clinics carry a revenue problem most billing companies never see: a single day mixes employer-paid services, workers' compensation claims and ordinary insurance, and each has to go to a different payer on a different form with different rules. When those streams get crossed — an employer service billed to insurance, a comp injury billed to the employer's health plan — the money either denies or never gets invoiced at all.
What makes it hard
Occupational & Employer Health billing challenges we solve
These are the issues that repeat every month in occupational & employer health practices — and the ones we fix at the source rather than reworking claim by claim.
Employer invoicing versus claims
Pre-employment physicals, DOT exams and drug screens are usually employer-paid and invoiced directly, not billed to insurance. Sending them to a health plan guarantees a denial.
Workers' comp first reports and rules
Comp injuries follow state-specific first-report requirements, fee schedules and timelines that differ entirely from group health.
DOT and regulated exams
DOT physicals, respirator clearances and audiograms have their own documentation and certification requirements, and are billed to the employer or program, not the patient's insurance.
Contract rate management
Employer contracts carry negotiated rates. Billing standard fees against a contract, or missing the contract entirely, quietly erodes margin.
Coding depth
What occupational health billing involves
- Employer-direct invoicing for physicals, screens and exams
- DOT physical examinations and certification documentation
- Drug and alcohol screening (regulated and non-regulated)
- Workers' compensation first reports and state fee schedules
- Audiometry, spirometry and respirator clearance exams
- 99202–99215 — evaluation and management for injury care
- Contract rate application and reconciliation by employer
Listed for context only — this is not billing advice, and payer policy varies. Our certified coders work to AAPC and AHIMA standards.
Denial prevention
Top denial drivers in occupational & employer health
- Employer service billed to a health plan
- Workers' comp injury billed to group insurance
- Missing state-required first report of injury
- DOT or regulated exam billed to the wrong party
- Contract rate not applied to a contracted employer
We root-cause denials by payer and procedure, then fix the upstream workflow so the same denial stops recurring.
Why ERG
What you get with ERG
Specialty-trained billers
Your account is worked by people who bill occupational & employer health every day — not a general pool learning your rules on your claims.
95%+ net collection rate
Relentless follow-up on every claim, with aged A/R worked rather than written off.
No long-term contract
Performance-based pricing — a percentage of what we collect. Stay because the results are good, not because you are locked in.
5–10 day onboarding
We run parallel with your current process until the transition is verifiably clean.
Human-led, AI-supported
Our certified coders work every claim; AI tools help them catch more before submission.
HIPAA-compliant throughout
Strict PHI controls, access limits and staff training across the whole workflow.
FAQ
Occupational & Employer Health billing — common questions
Can you handle employer invoicing as well as insurance claims?
Yes. Occupational health only works when employer-direct invoicing, workers' comp claims and commercial insurance are each routed correctly. Mixing them is the most common and most expensive error in this specialty, and separating them cleanly is the core of what we do.
Do you bill DOT physicals and drug screens?
Yes. These are typically employer-paid and invoiced directly rather than billed to insurance. We manage the documentation and invoicing so contracted employers are billed accurately and on time.
Do you know state workers' comp rules?
Yes. Workers' comp is state-specific in its forms, fee schedules and deadlines. We bill to the correct state rules rather than treating comp as one national program.
Can you manage our employer contract rates?
Yes. We apply negotiated contract rates by employer and reconcile against them, so contracted work is neither underbilled nor billed at standard fees the contract does not allow.
Client results
What practices say about working with us
★★★★★Onboarding was painless. They mapped our workflow first instead of forcing us into theirs.
— Brian F., Operations Lead
★★★★★Our A/R days dropped from 58 to 31 in one quarter. First time in years I actually trust my numbers.
— Sarah M., Practice Manager
Next step
See what your occupational & employer health practice is leaving uncollected
A no-obligation A/R analysis. We review your aging, denial patterns and coding mix, then show you exactly where the recoverable revenue is.
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