Generate CMS-1500 claims, e-file via clearinghouse, accelerate reimbursement, and reconcile accurately with accounting/ERP export.
Built-In Program Rules
CMS-1500 eClaims with ICD-10/CPT—Accelerate Processing and Minimize denials
Build CMS-1500 claims with ICD-10/CPT and send them electronically through your clearinghouse to speed processing and cut denials.
- Fewer denials - ICD-10 and CPT coding plus automatic CMS-1500 field validation.
- Cut duplicate entry - Patient, visit, and pricing details auto-populate from your workflow.
- End-to-end visibility - monitor claim status from creation to approval or denial.
CMS-1500 (HCFA) + ICD-10/CPT
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.
Electronic Submission to Clearinghouse
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.
Claim Status Tracking
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.
Investigate & Resubmit with Confidence
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 Faster
Apply insurer payments in minutes and keep payer vs. patient balances clear across locations—while accounting sync and ERP/CRM integration remove retyping.
- Faster application - Apply EOB amounts line-by-line without rebuilding the claim.
- Cleaner close - Finish the day with Deposit registry & cash box and tidy totals.
- Consistent adjustments - Govern refunds/discounts/tax so numbers stay reliable.
Payment Application Tools
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.
Deposit Registry & Cash Box
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.
Refunds, Discounts & Tax Controls
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.
Finance Stays In Sync
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
Simplify Managed-Care Rules to Prevent Mistakes
Simplify Managed-Care Rules to Prevent Mistakes
Use Managed-Care price books to keep pricing and coverage consistent—so claims are right the first time.
Managed-Care Price Books
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.
Audit-Friendly History
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
Connect Billing to the Systems You Use
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.
Practice Management Software Designed for Hearing Clinics the USA
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.
Frequently Asked Questions
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Yes. Claims use CMS-1500 with ICD-10/CPT and required fields to reduce denials.
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Yes—send via your clearinghouse (e.g., Waystar) and receive status updates sooner.
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No. The US uses payment application tools (no bulk posting).
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We post at line level with adjustments and notes, then mirror results to finance via accounting sync and ERP/CRM.
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Permissioned workflows with automatic recalculation. In the US, Avalara can validate tax rates and addresses in real time.
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Use accounting export for journals/daily totals or journal export (IIF/CSV) for QuickBooks Desktop/Online.
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This page focuses on CMS-1500 professional claims typical for hearing care. If you have a UB-04 need, we’ll scope it.
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No—online/text-to-pay is not part of standard insurance workflows here. See Billing & Payments for card-present checkout at the counter.
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Audit trails on claims and postings, HIPAA/GDPR-aware processes, and PCI-compliant payment providers (for card flows referenced on the Billing page).
Get more with Auditdata Manage
Our software for hearing care professionals simplifies practice management, empowering hearing care professionals as they care for others.
Patient Management
Streamline administrative tasks to focus on providing the best care possible to your patients.
New AI-Powered Notes
Automate note-taking with AI so you spend less time typing and more time with patients.
Guided Activity Workflows
Simplify and standardize tasks with step-by-step workflows, ensuring consistent, high-quality care every time.
Billing & Payments
Make invoicing and insurance claims faster and easier with automated billing tools.
Insurance & Reimbursements
Follow country-specific insurance rules for the United States, United Kingdom, and Australia—covering claim formats (CMS-1500, NHS, HSP).
Security & Compliance
We have partnered with Microsoft to give you the most secure and accessible cloud service in the world.
Integrations
Connect your favorite tools and systems to create a smoother workflow, reduce manual tasks, and keep everything in sync.