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Explore APIs by workflow

Find the APIs and events you need by the work: reaching payers, getting set up, and following a claim until it is paid.

Payer callsCall the payer, work the phone tree, wait on hold, and get a structured answer back.
  • Check a claim by phone
  • Recheck until it moves
  • Hand a live rep to a biller
  • Trace a payment
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Payer portalsSign in to payer portals, run a defined set of steps, and read the result back.
  • Find a missing remit
  • Check an appeal
  • Send an attachment
  • Catch an overpayment
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ERA and EFT enrollmentEnroll every provider with every payer for electronic remits and payments, and track it to approval.
  • Onboard a new provider
  • Clear the paperwork
  • Switch a bank account
  • Audit coverage
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Eligibility and benefitsCheck coverage and benefits over 270/271 in real time, one at a time or by the thousand.
  • Verify before the visit
  • Estimate what the patient owes
  • Catch terminated coverage
  • Escalate to a call
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Claim status276/277 claim status checks in real time and at volume, kicked off by your own rules.
  • Chase silent claims
  • Confirm a payment
  • Catch denials early
  • Escalate to a call
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Remittance and postingPull 835s, match them to claims and deposits, and propose the posting entries for each payment.
  • Post a payment
  • Reconcile the bank
  • Find missing remits
  • Route denials
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Denials and appealsRead CARC and RARC codes, sort each denial by cause, trigger the next step, and draft the appeal.
  • Work denials by cause
  • Appeal missing auth
  • Resubmit coding errors
  • Watch the deadline
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