When a behavioral health facility loses its only billing staff overnight, the fallout can be catastrophic. That’s exactly what happened to a mental health center in Maine, when their sole billing employee quit without notice leaving the providers locked out of their billing system, unpaid, and uncertain about their financial future.
What followed was chaos and the looming threat of closure. That’s when Shoreline Healthcare Technologies stepped in to turn the crisis around.
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A Maine based Mental Health Facility for providing comprehensive outpatient behavioral therapy, counseling, and psychiatric services.
Location:
Maine
Annual patients volume:
approx. 1,000-2,000
Providers:
approx. 3-4
Annual Revenue:
0.5-1.0 million dollars
This small mental health facility relied entirely on a single billing staff. On her quitting the job abruptly the providers were completely cut off from their billing platform without any login credentials or status of their pending files.
When tried to reach her for access details, she refused to cooperate and disconnected the call, making it impossible for the facility to resume their billing operations.
To keep the center alive, Shoreline immediately contacted the state Medicaid agency MaineCare to recreate login credentials and re-establish the system access. And on submitting the claims under the new login, there arouse another problem every single claim was rejected.
On further investigation it was identified that the former biller had never completed the provider credentialing processes, which was the reason for the complete claim rejections. Without an immediate action, the facility was at risk of shutting down due to zero cash flow.
We at Shoreline Healthcare Technologies brings in expertise, structure, and stability to billing emergencies. Our team works quickly and stays on track until the revenue flows, and the operations are back to normal. By combining deep regulatory knowledge, direct coordination with state agencies, and meticulous manual work, we turn complex billing breakdowns into smooth, sustainable operations.
Our goal was clear: restore access, fix credentialing, and recover rejected claims.
Shoreline Healthcare Technologies immediately contacted the MaineCare Medicaid agency to report the access issue. We verified the facility’s credentials, obtained authorization letters, and successfully created new login credentials within a week.
After system access was restored, Shoreline began claim submission, but every claim was denied. Upon deeper review, our billing experts discovered that none of the providers were properly credentialed with Medicaid.
Recognizing the urgency, Shoreline took full responsibility for completing the credentialing applications for all providers. We compiled license documents, NPI numbers, and board certifications, and escalated the approval process through the Medicaid agency’s direct liaison.
With credentials approved, Shoreline reprocessed and resubmitted every previously rejected claim. Within two months, all pending Medicaid claims were accepted and paid.
New credentials created in 7 days
All providers credentialed
Recovered from rejected claims
Claim acceptance rate post-correction
Total turnaround to restore revenue flow
“We were completely lost after our biller left. We couldn’t log in, submit, or get paid. Shoreline rebuilt everything from access, credentialing, and claims and kept us alive when we thought we’d have to close.”
— Director, Mental Health Facility in El Rancho
My first time in solo practice I was very concerned about my
ability to manage "the business side" of medicine. The
personalized care and guidance this group provided to me and
my staff were really a life saver. They always had quick
turnaround on any questions I sent in, and were very
knowledgeable for problem solving on the fly! I never feel
like just a number, as I might have with a large
corporation.
“We use Shoreline Healthcare technologies for all our
billing needs, the support is second to none! They are
always up to date with coding updates which helps to ensure
timely billings and prompt payments. I highly recommend
Shoreline Healthcare technologies for your billing needs.”
I have been using Shoreline Healthcare technologies for
almost 2 years, and I could not be more pleased with their
service. They really care about my business. With all the
complexities of medical billing, we needed a professional
partner to help us. Shoreline delivered.
We switched to Shoreline Healthcare technologies. Our claims
are getting paid, and we are getting friendly, knowledgeable
service. We highly recommend Shoreline.
I’m a small pediatric OT practice and have been with
Shoreline for several years now. They have made it so easy
for me to keep my focus on patient care by being so
knowledgeable and so efficient with all aspects of my
billing. When I do have questions, they are always available
and able to help quickly. Couldn’t be happier!
Thanks so much for working so hard to help my company:) It
sound cheesy, but having a biller I could trust changed my
life by giving me the headspace/time to focus on clinical
work, scale my business and sleep better at night. I've had
quite a few people ask about you on Facebook Messenger from
my posts. Overall, the feedback I've heard back from
everyone is that you guys are very responsive and helpful.
Hi, following up on our conversation about Shoreline. I did
let them know that I had some concerns and they were very
understanding. They have been very responsive and proactive
in their billing process, reports and communication. It has
been very good. Thank for recommending them.
Before Shoreline, billing was a constant headache. Now, our
reimbursements are faster, and I’m no longer chasing unpaid
claims. Their team handles everything so efficiently, it’s
one less thing I need to worry about.
We at Shoreline Healthcare Technologies go beyond claim submissions to build lasting partnerships that drives revenue, compliance, and confidence.
Secure & Encrypted Platform. Every process we follow meets 100% HIPAA privacy and security standards.
Expert billing staffs with hands-on experience across multiple specialties.
Round the clock assistance whether it is a claim update or a reporting query, our support team is just a call or message away.
We deliver enterprise-level billing expertise without the heavy overhead.
Secure, easily accessible and interoperable cloud-powered systems.
From solo practices in Texas to large hospitals in New York we cover diverse geographical areas.
From Billing companies in California to Nurse practitioners in Washington we serve multiple specialities.
Partner with Shoreline Healthcare Technologies, where expertise meets accountability.
Start your free audit or a 15-day trial of our complete RCM cycle today and see how quickly we can restore your financial flow.
