Generate CMS-1500 claims, e-file via clearinghouse, accelerate reimbursement, and reconcile accurately with accounting/ERP export.
The United States
Generate CMS-1500 claims, e-file via clearinghouse, accelerate reimbursement, and reconcile accurately with accounting/ERP export.
Built-In Program Rules
Build CMS-1500 claims with ICD-10/CPT and send them electronically through your clearinghouse to speed processing and cut denials.
Build payer-ready claims with required CMS-1500 fields, accurate ICD-10 & CPT diagnosis codes, and CPT/HCPCS procedure codes. Patient, provider, and visit data prefill from your workflow to reduce manual re-entry, while inline validations flag missing NPI, place of service, or eligibility details before submission. The result is fewer first-pass denials and less back-and-forth with payers.
Auto-submit claims to your Waystar clearinghouse for faster handoff and reimbursement. Not on Waystar? Generate a CMS-1500 or 837P to submit to your clearinghouse or provider.
Track every claim from draft → submitted → paid/part-paid/denied with reason codes, dates, and notes. Aging views and follow-up queues prioritise the next best action, while user and timestamp history keep conversations short when finance or front office needs context. You always know what is waiting, why, and who owns the next step.
Transparent claim history tracks edits and status transitions end to end for fast investigations. Spin up a working copy from any version, fix the issue, and resubmit—keeping the original intact for audit and review.
Accurate Posting, No Double Entry
Apply insurer payments in minutes and keep payer vs. patient balances clear across locations—while accounting sync and ERP/CRM integration remove retyping.
Apply insurer payments at line level with EOB amounts, adjustments, and remark codes captured as structured data. Short-pay/write-off reasons are recorded, secondary balances update automatically, and staff see exactly what’s still due—without rebuilding the claim.
Close the day with totals by professional and location, variance flags, and a dated deposit log. Your hearing care professionals resolve issues before posting to finance, so end-of-day becomes a predictable, repeatable step across clinics.
Permissioned workflows with required reasons and automatic tax calculation keep documents consistent and audit-ready. Avalara AvaTax adds real-time tax and address validation to reduce mis-taxed items and follow-up fixes.
Export posted outcomes as journal entries and import them into your accounting system—keep ledgers aligned, reduce re-entry, and preserve a single audit trail from claim to close.
Built-In Program Rules
Use Managed-Care price books to keep pricing and coverage consistent—so claims are right the first time.
Enforce payer/plan rules and contracted rates automatically, including common modifiers and coverage limits. Quotes, invoices, and claims stay consistent with plan terms, cutting overrides and callbacks.
One timeline shows changes to codes, quantities, prices, approvals, and adjustments—linked to submission and payment events. Reviews are faster, disputes shrink, and compliance has the context it needs.
Integrations
Manage keeps your clinic’s finances running smoothly. Manage connects with QuickBooks, Avalara, PayJunction, and Waystar to simplify your clinic’s financial workflows. From invoices and tax reporting to payments and insurance reimbursements, these integrations ensure accuracy and compliance with less manual work.
Keep secure records of your patients, implement paperless protocols, ensure consistent data, and use insights gathered from across the hearing care journey to deliver the best care experience.
Yes. Claims use CMS-1500 with ICD-10/CPT and required fields to reduce denials.
Yes—send via your clearinghouse (e.g., Waystar) and receive status updates sooner.
No. The US uses payment application tools (no bulk posting).
We post at line level with adjustments and notes, then mirror results to finance via accounting sync and ERP/CRM.
Permissioned workflows with automatic recalculation. In the US, Avalara can validate tax rates and addresses in real time.
Use accounting export for journals/daily totals or journal export (IIF/CSV) for QuickBooks Desktop/Online.
This page focuses on CMS-1500 professional claims typical for hearing care. If you have a UB-04 need, we’ll scope it.
No—online/text-to-pay is not part of standard insurance workflows here. See Billing & Payments for card-present checkout at the counter.
Audit trails on claims and postings, HIPAA/GDPR-aware processes, and PCI-compliant payment providers (for card flows referenced on the Billing page).
Explore All Features
Streamline clinical operations with one-click access and standardized workflows, delivering consistent, high-quality care to your patients every time.
Advanced resource scheduling capabilities optimize your resources, reduce no-shows and lost revenue, and make data-driven decisions to improve patient outcomes.
Fast and efficient patient management system streamlines administrative tasks, allowing you to focus on providing the best care possible to your patients.
Utilize our notification feature to create appointment reminders, recalls, and follow-ups, increasing show-up rates and ensuring patients are reminded of important events.
Noah integration delivers valuable insights to drive informed business decisions and provides care and access measurement and fitting software online or offline.
Easily manage inventory and stock with a comprehensive system including product catalog, supplier management, battery and service management, and more.
Auditdata’s software includes an audit trail, ensuring full accountability and transparency around all changes made to your clinic’s records.
Our software is hosted on Microsoft Azure, and we are ISO certified, adhere to the highest global safety standards, and offer superior security features.
Auditdata Manage's integrations with best-in-class systems and there is an Open API that allows for easy sharing of information, streamlined workflows, and improved quality of care in audiology.