Prior Authorization, Without the Chaos
LivePrior Authorization
Build a repeatable PA workflow that won't leave services unauthorized.
Build a repeatable PA workflow that won't leave services unauthorized.
Read Guide →Billing Guides
Billing Guides
Free, readable reference articles for medical billing workflows. All six guides are now live — covering EOBs, denials, clean claims, prior authorization, coordination of benefits, and patient billing.
Explore practical billing workflow guides below. Each guide is a free, readable article designed to help with common medical billing tasks like EOB review, claim denials, clean claims, prior authorization, coordination of benefits, and patient billing.
Guide Index — Billing Workflow Order
Guides ordered to follow a typical claim from intake to patient balance.
| Step | Guide | Workflow Stage | Open |
|---|---|---|---|
| 1 | Prior Authorization, Without the Chaos | Prior Authorization | Read → |
| 2 | Clean Claim Fundamentals | Claim Submission | Read → |
| 3 | Reading an EOB: A Practical Guide | Payment & EOBs | Read → |
| 4 | Working Denials: A Step-by-Step Workflow | Denials & Appeals | Read → |
| 5 | Coordination of Benefits Explained | Coordination of Benefits | Read → |
| 6 | Patient Billing & Collections Basics | Patient Billing | Read → |
Clean Claim Fundamentals
LiveClaim Submission
What goes into a first-pass-accepted claim — and what derails one.
What goes into a first-pass-accepted claim — and what derails one.
Read Guide →Reading an EOB: A Practical Guide
LivePayment & EOBs
Understand allowed amounts, adjustments, CARC/RARC codes, and patient responsibility on an EOB.
Understand allowed amounts, adjustments, CARC/RARC codes, and patient responsibility on an explanation of benefits.
Read Guide →Working Denials: A Step-by-Step Workflow
LiveDenials & Appeals
Triage, document, and resolve denials before they age past appeal deadlines.
Triage, document, and resolve denials before they age past appeal deadlines.
Read Guide →Coordination of Benefits Explained
LiveCoordination of Benefits
Verify primary and secondary order, bill secondary correctly, and resolve CO-22 and CO-23 denials.
Verify primary and secondary order, use the primary EOB to bill secondary, and work CO-22 and CO-23 denials.
Read Guide →Patient Billing & Collections Basics
LivePatient Billing
Bill patients after insurance — statements, payment plans, balance follow-up, and common mistakes.
Bill patients after insurance has processed — statements, payment plans, balance follow-up, and common mistakes to avoid.
Read Guide →Coming soon
Get the Complete Medical Billing Forms Toolkit
An organized package of every MedicalBillingForms.com template, checklist, worksheet, and appeal letter — paired with the full guide library. Built for billing offices that want everything in one place.
Sold by: Sunshine Summit Network
Billing note: When paid guides launch, your purchase or checkout confirmation will list Sunshine Summit Network as the merchant, and charges may appear on your bank or card statement under that same name.
Want practical templates while guides are in the works? Browse the free forms directory →