Instant determination. No surprises. Just Payment.
Mishe pre-approves and pre-funds every covered treatment before you deliver care. You redeem a voucher, we send EFT same day. No billing staff required.
Three steps. Then you get paid.
- 01
Treatment scheduled and pre-approved
Submit a treatment request. Mishe instantly verifies eligibility via real-time 270/271 exchange. The plan pre-funds the claim before the patient walks in. Funds are secured before the visit.
- 02
Deliver care
Your patient receives care. Automated appointment reminders go out. You focus entirely on the patient, with zero billing or claims overhead during the visit.
- 03
Redeem and get paid instantly
After treatment, redeem the voucher. Mishe triggers EFT payment within 24 hours. No billing. No delays. No chargemaster fiction.
Built for providers who are tired of waiting.
Same-day EFT Payment
Covered treatments are pre-approved and pre-funded. You redeem the voucher, we send EFT same day. No paper checks, no 30 to 90 day waits, no explanation of benefits to decode.
Real-time Benefits Verification
Instant 270/271 eligibility response before every visit. You know exactly what the plan covers and what the patient owes before they sit down. No surprises for you or them.
Zero Claims Submission
No 837 filing, no clearinghouse fees, no denial management. The voucher is the claim. Mishe adjudicates against the pre-approved treatment plan automatically.
Direct Contract Management
Establish direct contracts with employer groups through Weave. Your rates are transparent, guaranteed, and paid without intermediary spread. No PPO discount off a fictional chargemaster rate.
Your revenue cycle, simplified.
Traditional Billing
- Submit 837 claim to clearinghouse2 to 5 days
- Wait for adjudication14 to 30 days
- Receive ERA/835 remittance30 to 90 days
- Chase denials and appealsweeks to months
- Net collection rate60 to 80%
Mishe
- Treatment pre-approved before visitDay 0
- Voucher redeemed after careSame day
- EFT payment sentWithin 24 hours
- Zero denials: pre-approved means paidNever
- Net collection rate100% of contracted rate
Every standard transaction, reimagined.
MisheOS 1 handles every X12 healthcare transaction natively: from enrollment to remittance. No middleware, no clearinghouse fees on your end.
- 270/271
Eligibility inquiry and response
Real-time coverage verification before every visit
- 837
Professional and institutional claims
Zero-touch: the voucher IS the claim
- 835
Electronic remittance advice
Same-day EFT, not a paper check in 90 days
- 278
Prior authorization
Pre-approval at point of scheduling, not weeks later
Submit claims your way. Or let us generate and submit them for you.
Think of a server taking an order. They write it down once, and that single entry flows to the kitchen, the tracking system, and the final bill. No one re-keys it at each step. Claims with Mishe work the same way.
Submit through any channel
Already have a workflow you like? Keep it. We accept claims through every channel you already use.
Or let us generate the claim
Tell your care coordinator the treatment during scheduling and we will take care of it. Our preclaim technology can generate the claim from care order data, encounter details, a cash pay invoice, or a confirmed service record. No re-keying required.
Join providers getting paid same day.
Mishe is an open network. Any willing provider at a contracted price. No geographic restriction, no credentialing gatekeeping beyond licensure.
- 1Submit your NPI and EFT information
- 2Agree to a transparent contracted rate schedule
- 3Start seeing Mishe members and getting paid same day
Everything you need, in one place.
Ready to get paid faster?
Get in touch and we will show you how Mishe works for your practice.
help@mishe.com