Billing
The billing gate, claims, batches, remittances, eligibility and configuration.
- Billing gateSee which aggregator-accepted visits may be billed, which are held and why, and send the eligible ones on (BIL-04 stages 1–3, BIL-08, BIL-103).
- ClaimsFind claims and see each life-cycle dimension separately. Saved views: All · Rejected · Not processed · Denied or partial · Awaiting remittance (BIL-15, BIL-18).
- BatchesSee every file sent to a payer or clearinghouse, with its transport, envelope and completion status and its EXT watchdog (BIL-15, BIL-75).
- RemittancesSee each 835 received: payer, payment date, trace number, amount and reconciliation outcome (BIL-148).
- EligibilitySee eligibility checks from intake, the monthly sweep, the billing gate or on demand, with their outcomes (BIL-94).
- ConfigurationBilling configuration: provider identifiers, rates, payers and routes.