Generate or import billing data, validate and submit claims through clearinghouse-supported payer workflows, track status, work denials, post 835 ERAs, and reconcile remittance advice. Use Billing by itself or connect it to Case Management or ADHC. Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.
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See how One Care Portal handles the billing cycle across payer types, with specialized workflows for Medicaid and HCBS agencies.
Import billing data or generate it from reviewed Case Management or ADHC services.
Review claim data and configured billing checks before submission.
Submit claims across payer workflows and keep status visible for follow-up.
Post 835 ERAs, review denials, and reconcile remittance advice against claims.
Every claim checked against authorizations, documentation requirements, and state-specific rules before it leaves your system.
Submit 837P and 837I claims electronically to Medicaid, MCO, Medicare, and commercial payers, including configured Medicaid and HCBS programs.
835 remittance files import and post automatically. Payments match to claims without manual data entry.
Denials flagged immediately with reason codes. Track appeals and resubmissions to resolution.
See outstanding claims by age, payer, and status. Know exactly where every dollar stands.
Configure billing workflows around the programs and payer requirements confirmed during implementation.
"We spend less time on documentation cleanup, and Medicaid submission review is much clearer. The operator insight behind the platform is built right in."
Complete billing solution for multi-service provider agencies.
Learn moreUpload 835 files, review denials, and organize payment reconciliation.
Learn moreDocument services and flow them directly to billing.
Learn moreAttendance and service documentation that supports billing.
Learn moreYes. Billing is available standalone. You can keep your current care or documentation workflow, or connect Billing to the Case Management or ADHC Care Module.
We import 835 remittance files and auto-match payments to claims. Adjustments and denials are flagged for review.
The Billing Module supports all major payer types: Medicaid and Medicaid MCOs, Medicare and Medicare Advantage, and commercial payers through clearinghouse-supported workflows, including secondary claims. Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.
Denials appear in a worklist with reason codes and recommended actions. Track corrections and resubmissions through resolution.
This page covers our Medicaid and HCBS billing configuration, but the Billing Module is not limited to it. The same claim scrubbing, submission, 835 ERA posting, and denial workflow handles Medicaid MCO, Medicare and Medicare Advantage, and commercial claims — and Billing can be purchased on its own, without an HCBS program or a Care Module.
Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.
See how connected documentation and billing checks can reduce claim rework and improve billing visibility.