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Why we run this
Luxen is a medical billing company. We do this work commercially for practices above $1M in annual revenue. The clinic is that same work, given free to the practices below that line, which are the ones least likely to ever hire a billing company.
We work with practices across the country. We have been doing free Medical Billing Clinics for some time now and are bringing it to the first time to Vermont! Providers have found tremendous value in it and hope you do too!
What the clinic covers
Ninety minutes, worked from your own claims rather than from slides.
- Which denials are worth appealing. How to rank open denials by dollar value and remaining deadline instead of working them in the order they arrived.
- The filing windows that quietly kill claims. Vermont Medicaid runs 180 days from the date of service, 365 days when another insurer is primary, and 180 days from Medicare's processing date on crossovers. We go through where your claims actually sit against those.
- When a payer owes you interest. Under 18 V.S.A. section 9418 a health plan has 30 days to pay, deny or contest a claim, and 12 percent annual interest accrues after that. Most practices never claim it.
- Credentialing a new provider without losing months of insured visits to paperwork.
- The three or four root causes behind most of your denials, and how to fix them upstream so the same claims stop coming back.
What you leave with
- Appeal letter templates for the most common denial reasons.
- A filing deadline calendar for Vermont's main insurance plans.
- A written list of which of your own claims we believe are still recoverable, and what to file for each.
All of it is yours to use whether or not you ever speak to us again. If it were only useful with us doing the work, it would not be a giveaway.
Who can attend
Vermont medical and dental practices with under $750,000 in annual revenue. In practice that is one and two provider offices with no dedicated biller, where appeals compete with everything else on the office manager's desk.
Bring whoever actually touches billing. That is often the practice manager rather than the provider.
There are 20 places and registration closes on Friday, September 26. No sales call is required to attend, and we will not schedule one unless you ask.
Why Vermont practices lose money in a particular way
Vermont has the smallest and most concentrated commercial insurance market in the country. Blue Cross and Blue Shield of Vermont and MVP Health Care dominate it, and both file their rates with the Green Mountain Care Board. Vermont Medicaid, known to members as Green Mountain Care, is administered directly by the Department of Vermont Health Access under the Global Commitment to Health waiver, which means there are no competing Medicaid managed care plans to enroll with the way there are in most states.
That concentration cuts both ways. There are fewer plans to keep straight, but no diversified book of business to absorb a single payer's policy change.
The numbers that decide whether you get paid. Vermont Medicaid timely filing is 180 days from the begin date of service, 180 days from discharge on inpatient claims, 180 days from Medicare's processing date on crossovers, and 365 days where another insurer is primary. Holidays, weekends and days your office is closed do not extend it, and waiting on a prior authorization decision does not excuse a late claim. On the commercial side, 18 V.S.A. section 9418 gives a health plan 30 days from receipt to pay, deny or contest a claim, with 12 percent annual interest accruing after that.
One more thing changed recently. OneCare Vermont, the state's only accountable care organization, wound down at the end of 2025, and Vermont's eight-year all-payer ACO agreement with CMS ended with it. Practices that spent years inside ACO risk arrangements are back to fee-for-service claim discipline, where the money depends on whether an individual claim was coded correctly, filed inside the window, and appealed when it came back. That is part of why we are running this now.
For reporters
In one sentence: a medical billing company is working unpaid insurance claims for free for 20 small Vermont medical and dental practices, and the practices keep everything recovered.
Why it matters to readers: when a small practice cannot get an insurer to pay, that balance often lands on the patient's bill. Patients end up owing money their insurance should have covered.
The facts: free, Wednesday October 1 2026, 20 places, open to Vermont medical and dental practices under $750,000 in annual revenue, registration closes Friday September 26.
Contact: Shivam Pujara, 413 445 1050. Happy to explain how a denied claim turns into a patient bill, connect you with a participating practice, or share what we find across all twenty practices afterwards. Photo and logo available on request.
Questions
Is it really free? Yes. No fee, no card, and no sales call is required to attend. This is our way to give back to the community and raise awareness on the correct practices for small clinics.
What do I need to bring? Your unpaid and denied claims, or an AR ageing report if you can pull one. The more you bring, the more useful it is.
What if we are already with a billing company? You can still come. Some of what we find will be things to take back to them.
Is my practice too small? Almost certainly not. The clinic exists specifically for practices too small to justify a billing company.
What happens to our data? We sign a business associate agreement before seeing anything containing protected health information, and healthcare work runs on HIPAA-compliant tooling.
Register, or ask first
Twenty places, and registration closes on Friday, September 26. If you would rather ask something before signing up, call Shivam Pujara on 413 445 1050.
We request that if you are a clinic doing much more than a million dollars in revenue you do not take up a spot for this workshop since it is exclusively focused on clinics who are smaller in nature.
