For EMR and practice management platforms that keep getting asked one question
Ship a complete revenue cycle inside your product, under your brand, without hiring a single EDI engineer.
Talk to Our Team →Native Woman-owned, X12 licensed, SBA HubZone certified, Cherokee Nation preferred vendor.
Every EMR gets asked the same thing in every sales conversation: does your system handle billing?
There are four ways to answer it, and three of them are bad.
Refer it out to a billing company
You lose the revenue, you lose the relationship, and you still get blamed when claims don't pay.
Integrate a clearinghouse API
You've bought a pipe. You still owe your users an entire application on top of it: claim screens, scrubbing, denial worklists, ERA posting, eligibility, and every report a biller expects on day one.
Build a clearinghouse yourself
You've quietly changed what company you are.
Embed a finished platform
That's ClaimRev.
That's the real risk, and it's worth spelling out because most teams haven't fully priced it in.
You will never staff an EDI team. That's the promise, not the API.
Our portal is not the product with an API bolted on the side. The portal is a client of the same API you get. Every screen a biller works in is calling an endpoint available to you. You are never negotiating for access to something you saw in a demo. If it's in the system, you can put it in yours.
Want the technical detail on how these surface as endpoints? See the full API reference.
Reports are the part nobody budgets for, and they're a genuine differentiator. All of these exist today, most with a CSV export, all reachable from the API and renderable inside your own interface.
Submission health
Acceptance and error, top claim errors, submission efficacy, claim summary counts, claim queue counts, outbound claim file, claims missing reports, acceptance rate, status code outcomes
Payment and reconciliation
Reconciliation, service line reconcile, collection efficiency, transaction report, days to payment, claims waiting for ERA aging, payer payment info counts
Denials and adjustments
Adjustment reason code groups, reason code detail, CARC trends, denied service lines, deductible service lines, coinsurance service lines, coinsurance and deductible
Revenue integrity
Underpayment detection, payment variance, revenue leakage, procedure profitability, procedure code integrity, payer anomalies
Productivity
Claim touch analysis, biller notes, provider summary, claim counts by week
Ask a clearinghouse API vendor which of these they ship. The answer is none of them, because building them is what they expect you to spend the next two years doing.
Path One
Live in Weeks
Single sign on into a branded workspace. Your users move from your EMR into a billing workspace carrying your name and your colors. No claims interface to design, no worklists to build, no reports to specify.
Path Two
Native, at Your Pace
Bring claims, denials, remits, and reporting into your own screens, one workflow at a time, on your own roadmap. The workspace keeps serving whatever hasn't moved yet, so there's no cutover and no gap.
Most partners launch on path one and go deeper selectively. You are never forced to build in order to go live.
You are the parent account. Every practice you serve is a child account underneath you, with its own credentials, its own data separation, and its own users. You are not designing a tenancy model, and you are not writing account provisioning.
Each practice gets its own client ID and secret. Roles and permissions are defined for your application, and you map your own users to them, so a front desk user and a billing manager see different things without us needing to know anything about your user directory. Single sign on is available if you'd rather your users never see a second login.
To be straight about where the line sits: the credential is issued per practice, and per-user restriction happens on your side, not ours. We scope data by practice, not by your internal roles. That's normal for embedded software, and we'd rather say it plainly than let you find it out later.
An honest answer beats a polished one, so here's where we stand on the questions that actually matter.
Do you support webhooks?
Not yet. Today, state is retrieved by polling: you ask for current claim, remit, and file status on your schedule, and we answer. We're not going to give you a date we can't hold. When webhooks arrive, they'll be additive, so nothing you build now gets thrown away.
Can you fully automate payer enrollment?
No, and be careful with anyone who says they can. Payers require the provider to authorize the connection, often with a signature or portal credentials only the practice can hold. That can't be delegated to a vendor, by us or by anyone else.
What we remove is the guesswork, and we remove it with a team, not just software. Our portal walks each practice through exactly what their payers require, collects it in structured forms instead of loose PDFs and faxes, tracks where every request stands, and follows up on the ones that stall. When a payer is one we haven't fully set up yet, our people go find out what that payer wants. That research is ours to do, not yours and not your customer's.
What payers do you support?
Check the payer list yourself. It's published and searchable, so neither you nor your customers need to open a sales conversation to find out. The list is a starting point, not a boundary: if a payer supports EDI, we connect to them, direct where we can and through partner gateways where we can't. If your customer brings a payer that isn't listed yet, that's a setup task on our side, not a rejection.
If you're wondering how long a new payer takes to add, or how long enrollment runs for a given payer, the honest answer is that it depends on the payer, since the clock is mostly payer controlled. We'd rather tell you that than hand you a number we can't back up.
We don't sell an EMR. We don't sell a practice management system. We have no reason to reach past you to your customers, and no adjacent product to upsell them into.
A lot of billing partners today are owned by a company that also sells the software your customer might switch to. Your customer sees your brand, your support, and your invoice. We stay behind it.
Billing is the highest margin line you can add to your platform. It's priced per claim or as a share of collections instead of another flat software fee, so it scales with your customers' volume instead of your seat count. It's also close to impossible to rip out: nobody replaces the system they get paid from.
We price it so you can mark it up. Your ability to make money on this is part of the product.
We don't publish pricing here, because every partner's situation is different. Tell us the payers your customers use and the volume you're seeing, and we'll tell you exactly what this looks like for you.
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