Eligibility checks itself three days before each session. Claims file to the clearinghouse from the signed note. ERA payments post themselves to the right service lines. And when a payer says no, the denial lands with the reason already on it.
| Client | CPT | Billed | Status |
|---|---|---|---|
| Maya R. | 90834 | $140 | accepted |
| Theo M. | 90837 | $175 | in review |
| Priya K. | 90791 | $200 | draft |
Teja runs an eligibility check three days before each scheduled appointment and shows what matters: copay, coinsurance, deductible met and remaining, in-network status and covered codes. Run one by hand anytime from the appointment or the client profile.
Eligibility-result card: payer, "In network", copay, a deductible-met progress bar, and covered codes 90834/90837.
Claims build from the signed note's service lines and submit to Claim.MD with a real-time acknowledgement. When the remittance comes back, ERA payments auto-post to the matching service lines — with the allowance and adjustment laid out, CARC/RARC codes spelled out in plain words.
ERA detail: payer, check number, paid amount, a per-service-line "allowed / adjustment / paid" table, and a CARC code chip with a plain-language tooltip.
Rejections and denials land in a queue with the reason attached — and the next move one click away.
Clearinghouse rejects and payer denials, each with its reason code broken out — not buried in a PDF.
Common errors get a one-click correct-and-resubmit. Prior authorizations track sessions used vs. authorized, with expiry alerts.
Attach documents, set a follow-up date, and track the appeal — while denial analytics show your top CARC codes by payer.
Teja files through Claim.MD with electronic claim (837P) and ERA (835) enrollment per payer — there's nothing separate to log into.
Yes. Each scheduled appointment triggers an eligibility check three days out, and you can run one manually anytime.
They land in a denial queue with CARC/RARC reasons. Correct-and-resubmit handles common errors; appeals carry document attachments and follow-up tracking.
File your first batch this week. The first three clients are on us.