Transform your Excel service data into clean 837P claims. Submit directly to state Medicaid. Track denials and resubmit—all from one dashboard.
From Excel spreadsheet to paid claims in five simple steps.
Import your Excel service data or export from your EHR.
Validate data, fix errors, and confirm service details.
Create compliant 837P claims with correct codes and modifiers.
Send claims directly to state Medicaid or your clearinghouse.
Monitor claim status, manage denials, and resubmit as needed.
Upload service data from Excel spreadsheets. Map columns to claim fields. Import hundreds of services at once.
Catch errors before submission. Validate client eligibility, service codes, modifiers, and billing rules.
Generate HIPAA-compliant 837P files with state-specific requirements. Support for waiver, TCM, and other services.
Submit claims directly to state Medicaid portals or through your preferred clearinghouse.
Track denied claims by reason code. Correct issues and resubmit with one click. Monitor denial trends.
Import 835 ERA files to auto-post payments. Reconcile paid claims and identify underpayments.
Yes. Export your service data to Excel and upload it to our billing hub. We'll map your columns to claim fields and validate the data before generating claims.
We support submission to state Medicaid systems and other payers through supported clearinghouse workflows. Contact us to confirm availability for your state and payers.
Denied claims appear in your denial queue with the reason code. You can view the original claim, make corrections, and resubmit directly from the dashboard.
Yes. The Billing Module is not waiver-only. The same claim, ERA, and denial workflow supports Medicaid MCO, Medicare and Medicare Advantage, and commercial claims, and can be purchased standalone. Exact payer, plan, transaction, enrollment, and claim-type fit is confirmed during setup.
Yes. We configure billing for your state's waiver programs including procedure codes, modifiers, and rate tables specific to HCBS, TCM, and other waiver services.
See how providers can improve claim review, denial follow-up, and payment visibility.
Billing outside waiver programs? See multi-payer billing for provider agencies.