Proven, Scalable. Achieving first time pay rates above 97%.
Credible's Billing Module provides HIPAA compliant, electronic billing for Medicaid, Medicare, Third Party Payer, clearing houses, and government entities. Generate and edit batches by payers, providers, service types, programs and more. This fully integrated module allows for claims tracking by consumers, programs and/or payers. Batch generation and edits are real-time and do not shut down other staff's access. No need for overnight batching.
- Fee for service or Grant Funding
- Medicaid, Medicare and Third Party Payers
- Clearing Houses
- 1500 and client invoicing
- "Incident To" billing
- Configurable exception rules design tool
- Integrated authorization management
- One click features to view and fix claim problems
- Advanced search on all billing related fields and variables
- Co-pay front desk processing
- Cascading and sliding scale functionality
- Full AR/GL export functionality
Customizable exception reporting, electronic posting, billing specific rights and views and many more features. Customers have reported successful first time submission and pay rates up to 99.5%. Care management organizations are continuously creating new ways to manage your cash, Credible knows this and works with you to optimize your billing and help get you paid sooner, faster and at the highest rate allowed.
From initial Discovery meetings through billing matrix and claim configuration down through initial Billing training and post Go-Live. Qualified, tested, experienced Credible billing personnel work with your team to educate them on our system, procedures and best practices.
Credible Billing's Rules Engine provides your agency the benefits of various customers submitting millions of dollars of claims on a monthly basis.