Replaces · Your clearinghouse portal
Keep your clearinghouse. Stop living in its portal.
We are not asking you to change clearinghouses — connect the one you already have. What goes away is the daily routine of logging into a portal to check status, decode a rejection code, and download an 835 to key in by hand.
Bring your own clearinghouse. Availity, Office Ally and others connect from the marketplace.
The real invoice
What it costs, including the parts that never appear on one.
The subscription is the visible line. Everything marked hidden below is paid in staff hours or in revenue that quietly never arrives.
Illustrative. Subscription ranges are typical rather than quoted, and the hour estimates come from the programs we built this with. Your numbers will differ — the point is which lines are on the invoice and which are not.
Where it breaks
Four seams, all of them at the same boundary.
The portal tells you a number. Fixing it happens in another system, by someone reconstructing what went wrong.
The file exists in one place and the claims exist in another, so a human moves the numbers between them.
Nothing tells you a claim moved. Someone checks, on a schedule, forever.
What did not pay gets copied into a spreadsheet, which is where appeal deadlines go to expire.
Payer connectivity, enrollment and transmission are exactly what a clearinghouse should do, and you should keep yours. The portal is a workaround for the fact that your billing system and your clearinghouse were never connected — not a product anyone wanted to use.
Switching
What moving actually involves.
No implementation fee on Solo or Group Practice. Larger migrations with historical data are quoted separately.
Find your clearinghouse in the marketplace and connect your existing account.
Step 1Submit against sample data before anything reaches a payer.
Step 2835 files import and match automatically from the first batch.
Step 3It stays available. You just stop needing it daily.
Step 4Revenue cycle
Claim scrubbing
Validation runs before the claim leaves, highlights the exact field that will get it kicked back, and says why in plain language — not a rejection code you have to look up.
Read more →Revenue cycle
Remittance & bulk posting
Read the ERA, match the lines to the claims, post the payments and adjustments, and route what didn't match to the denials queue.
Read more →Revenue cycle
Denials work queue
Every denial and underpayment lands in a queue with the reason, the dollar amount, the deadline, and the person responsible.
Read more →A portal is a symptom
Nobody chose to work in a clearinghouse portal. It is where you go because two systems that should be connected are not.
Bring your current stack to a walkthrough and we will go through it line by line, including the ones we cannot replace.
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