BILLING & CLAIMS

Revenue integrity you can count on

BILLING & CLAIMS

Accelerate your time to payment with an automated, 
error-resistant workflow. From real-time eligibility to  
automated patient balance alerts, we’ve built smart tools to protect your margins while your team focuses on care. 

FEATURES

Protect your practice’s financial health 

Capture every billable moment 

Our system monitors your schedule and documentation in real-time, flagging missing encounters before they become lost revenue. It’s the simplest way to ensure that every minute your providers spend with patients is accurately accounted for and ready for reimbursement.

Automate your patient collections 

With automated balance notifications via SMS and email, patients can view detailed charge summaries and settle their invoices through the secure portal. When you make it easy for clients to pay, your days in A/R drop, and your cash flow stays consistent.

Verify eligibility before the session 

We’ve built rules-based, automated eligibility checking into the daily schedule. Your team will know a patient’s coverage status, co-pay requirements, and deductible details before they even walk through the door, preventing costly surprises for everyone.

Give your charge capture guardrails 

Eliminate the manual data entry that leads to coding errors. By linking documentation directly to billing rules, the system automatically applies the correct modifiers and CPT codes based on your specific payer contracts.

Simplify provider payroll 

Our flexible payroll reporting allows you to calculate provider pay based on collections, procedure types, or date ranges. You can save your configurations and run them on a schedule, turning a multi-day administrative chore into a few clicks.

Monitor your practice’s performance

From aging balances to provider productivity, you’ll have the data you need to make informed decisions about your growth. Beyond a report, this is the roadmap for your practice’s “do well” strategy.

MAXIMIZE MARGINS

Billing tools as empathetic as they are efficient 

We believe that when a practice is financially healthy, they’re able to improve care delivery, and for more people. By providing clear, patient-friendly estimates and easy payment plans, you’re removing the financial stress that often prevents patients from staying committed to their treatment. Our billing tools support both the business side of your practice as well as your clinical mission. 

REVENUE CYCLE

Need to go deeper? 

For practices managing complex IOP billing, or those looking for a fully managed billing solution, we offer an embedded clearinghouse and professional RCM services.

FAQs

Common questions related to billing and claims

Is ProsperityEHR PCI-compliant for storing patient credit cards?
Yes, ProsperityEHR utilizes PCI-compliant payment processing to securely store patient credit cards on file. Sensitive card data is never stored directly on your local servers. This allows practices to safely enable AutoPay for recurring sessions and collect balances instantly, reducing your Days Sales Outstanding (DSO).

Ready to simplify your behavioral health practice technology?

We built ProsperityEHR to eliminate fragmentation and frustration. See how a complete platform designed specifically for behavioral health can help your practice run more smoothly.