ModMed
EHR / EMR
MO

ModMed

Automate prior authorization, denial management, and specialty coding review for ModMed (EMA) practices

Sarva connects to ModMed (EMA) to automate the specialty-specific billing work that generic RCM tools handle poorly: prior authorization tracking for procedure-heavy specialties, denial management tied to specialty coding rules, and claim scrubbing built around your specialty's actual edit patterns.

< 5 min
Setup Time
100%
HIPAA Compliant
99.9%
Uptime SLA
Yes
BAA Included
Overview

Why ModMed + Sarva

Sarva connects to ModMed (EMA) to automate the specialty-specific billing work that generic RCM tools handle poorly: prior authorization tracking for procedure-heavy specialties, denial management tied to specialty coding rules, and claim scrubbing built around your specialty's actual edit patterns. ModMed serves specialties where the billing complexity isn't volume, it's specificity: orthopedics, dermatology, ophthalmology, gastroenterology, and plastic surgery all carry procedure and device coding rules that a general-purpose PM system treats as an afterthought. Sarva's automation is built around the specific denial and authorization patterns each specialty actually runs into, not a generic template.

Capabilities

What Sarva Automates in ModMed

1

Prior Authorization Tracking

Sarva tracks authorization status for procedures scheduled in ModMed and flags anything that's expiring or missing before the day of service, instead of a scheduler finding out at check-in.

2

Denial Management

Sarva classifies denials against your specialty's real patterns, bundling conflicts, medical-necessity documentation gaps, device coding mismatches, rather than a one-size-fits-all denial code list.

3

Claim Scrubbing

Sarva checks claims against specialty-specific bundling and modifier rules before submission, catching the edits generic scrubbers miss because they're not built around procedure-heavy specialties.

4

Appeals Automation

Sarva drafts specialty-appropriate appeal language for denials tied to medical necessity or bundling, with a human reviewing and finalizing every letter before it goes out.

Real Results

How Practices Use ModMed + Sarva

Prior Authorization Tracking

Sarva tracks authorization status for procedures scheduled in ModMed and flags anything that's expiring or missing before the day of service, instead of a scheduler finding out at check-in.

Authorization-related denials prevented, approval turnaround accelerated.

Denial Management

Sarva classifies denials against your specialty's real patterns, bundling conflicts, medical-necessity documentation gaps, device coding mismatches, rather than a one-size-fits-all denial code list.

Denial rate reduced and appeal turnaround improved.

Claim Scrubbing

Sarva checks claims against specialty-specific bundling and modifier rules before submission, catching the edits generic scrubbers miss because they're not built around procedure-heavy specialties.

First-pass acceptance rate improved, rework cycles reduced.

Appeals Automation

Sarva drafts specialty-appropriate appeal language for denials tied to medical necessity or bundling, with a human reviewing and finalizing every letter before it goes out.

Denial rate reduced and appeal turnaround improved.
Setup

Connect in Minutes

STEP 01

Connect Your ModMed Account

Authenticate Sarva with your ModMed instance using secure API credentials. Setup is fully guided and takes under 10 minutes. Your data is encrypted end-to-end throughout the connection process.

STEP 02

Configure Your Workflow Triggers

Choose which ModMed events trigger Sarva automations — new appointments, finalized encounters, received denials, or aging AR thresholds. Use pre-built templates or configure custom logic for your practice.

STEP 03

Go Live & Monitor

Sarva begins processing real ModMed data immediately. Monitor every automated action, claim status, and workflow outcome from Sarva's unified revenue intelligence dashboard.

Why It Works

Built for Healthcare. Built for ModMed.

No custom development or IT resources required for ModMed integration
HIPAA Business Associate Agreement (BAA) included with all Sarva plans
Works alongside your existing ModMed workflows — nothing gets replaced
Sub-10 minute setup with guided onboarding
Full audit trail of every automated action
Dedicated onboarding support from Sarva's RCM specialists
MO
ModMed
Connected to Sarva
Live
Eligibility check triggered
Claim validated — 0 errors
Submitted to payer
Authorization confirmed
FAQ

Common Questions

Does Sarva understand ModMed's specialty-specific templates?

Sarva doesn't need to read your clinical templates directly; it works from the coded claim and authorization data ModMed produces, applying your specialty's billing and payer rules to that data.

Which specialties does this work best for?

Orthopedics and MSK practices billing modifier-heavy claims see this most directly, but the same authorization-tracking and denial-classification approach applies across ModMed's specialty base.

Does this replace our current prior authorization process?

No. Sarva automates the tracking, deadline alerts, and documentation assembly around prior auth; a person still makes the actual authorization request and any judgment call it requires.

Related Connectors

Claim Status Automation for ModMed

Learn how Sarva automates ongoing claim status monitoring and follow-up for ModMed practices.

Explore

Ready to Connect ModMed to Sarva?

Get set up in under 5 minutes. Our onboarding team handles everything — from authentication to your first automated workflow.