To keep our Partners productive and profitable, a 99% clean bill rate is just the beginning.
How do we give you a 99% clean bill rate?
With Credible, your staff can generate and edit batches, search by payers, providers, service types, programs, and more. They can track claims by consumers and programs, batch generation and edits, post electronically, and with our Batch Claim Error Report, your agency can correct troublesome claims before they’re sent, or denied, by the payer. The idea is for you to spend more time caring for patients and less time nursing your paperwork.
Real-time financial data for real-time benefits.
Whether it is the end of the quarter or the end of the day, our real-time updates equip you to see your organization’s financial status in real time, even with your last patient of the day walking out the door. This means all your decisions can be made in real time with accurate and up-to-date data to support it.
Not just behavioral health, but primary care too.
Our dynamic billing capabilities go beyond just pay models for behavioral health. Credible’s software equips you to bill for primary care too, showing that our software is just as diverse and dynamic as you are.
More billing capabilities, at a glance.
- Electronic submission of Medicaid, Medicare, and third-party services
- Real-time eligibility
- Rate/service confirmation of data provided by agency
- Claim bundling rules
- Authorization configuration
- Configured for electronic submission of 837 Institutional and Professional files and/or CMS 1500/1450 capabilities
- Ability to upload 999, 277, and 835 files
- Reconcile payments with services, manually or automatically
- Batch insurance eligibility checking (270/271)
- Easily export AR to be imported into any general ledger
- Waterfall to secondary or tertiary payers automatically
- Handle sliding scales by calculating via forms or a profile worksheet
- Tracking for timely submission of claims
- Payer Profiles for payer contract tracking and correspondence
