Insurance billing, built into your EHR

Billing from the signed note.

Q: Do I need a separate biller?

Many practices run without one. The routine work is automated and the billing list narrows the rest to a short list. If you do have a biller, they get a claims queue across the whole practice, built for them.

Eligibility checks itself before the session.
The claim drafts itself from the signed note.
The ERA comes back and posts itself.
What's left is a short list. Whoever runs billing sees just that, across every provider.

Book a demo

All features included Free migration No per-session AI fees Full billing included

Claim for the signed encounterCPT 90837, individual psychotherapyBilled $165.00

Insurance eligibilityBlue Cross Blue Shield, Gold planActive

COPAY$20DEDUCTIBLE$500COINSURANCE0%

Eligibility verifiedChecked before the visit, copay $20ViewCompleted

Clean claim submittedBuilt from the signed noteViewCompleted

ERA posted automatically$145.00 insurer, $20.00 copayViewCompleted

See a demo of this

The billing workflow

CheckBefore the visit

Eligibility and benefits

PrepareFrom the signed encounter

Review the claim draft

CollectPayment recorded

Payer and patient payments

Eligibility, claims and remittances stay connected to the record.

Eligibility runs before the sessionCoverage, copay, deductible and coinsurance come back ahead of time

Claims checked before they leaveWhat payers reject on gets caught and fixed in place

ERAs post themselvesWhat is left is a short list of exceptions, across every provider

Eligibility

Eligibility that runs before the session.

Coverage, copay, deductible and coinsurance come back before the client sits down. Nobody finds out at the front desk.

Automated checks

Benefits, before the visit.

Checked automatically before the appointment
Re-checked on your schedule
New coverage verified on entry
Clients submit their own details

How clients share their details

Insurance eligibilityAetna PPO, checked this morningActive

COPAY$25DEDUCTIBLE LEFT$340COINSURANCE10%

Pre-appointment checkRan automatically, 48h aheadDone

Recurring re-checkEvery 14 days while care continuesDone

History kept per coverageEvery answer stored with its dateDone

Eligibility: Aetna PPO

CoverageCheckingActive

Asking Aetna…

Copay$20
1
20

Deductible remaining$30
1
2
340
1
2
3
40

Coinsurance10
10%

Checked automatically 48h before the appointment

Coverage, copay, deductible and coinsurance come back before the client sits down. The check ran on its own, two days ahead.

See a demo of this

Eligibility

Benefits, before the visit.

CoverageActive

CopayReturned

DeductibleReturned

Benefits receivedAvailable for the practice to review

RequestPayer responseReview

Eligibility is not a guarantee of payment.

Claims

Claims that leave clean.

Every signed encounter drafts its own claim. Before it goes anywhere, a checklist looks for the errors payers reject on. Each one has a fix button right there.

Error prevention

Flagged before the payer sees it.

Drafted from signed notes, editable as CMS-1500
Every check has its fix button
Bundle encounters into one claim
Rejections and denials tracked apart

Where the signed note comes from

Claim checklistVerify before submitting

Billing profile not setWhich identity this claim bills underSet

Procedures not linked to diagnosisThe link that establishes medical necessityLink

Time doesn't match CPT codeRecorded session time vs the time-based codeFix

✓Ready to submit. Sent through our built-in clearinghouse.

Claim checklist. Verify before submitting.

Procedure addedCPT 90837

Diagnosis addedF41.1

!Procedures not linked to diagnosisProcedures linked to diagnosisLink

The link that establishes medical necessity

Claim statusDraftReady

The claim drafts itself from the signed note. Anything a payer would reject on is flagged, with the fix one tap away.

See a demo of this

Claims

Review before submission.

ProcedureAdded

DiagnosisLinked

Claim detailsReviewed

Ready for submissionResolve any flagged issues first

DraftCheckSubmit

Checks help identify issues; payer rules still apply.

The billing list

Only what needs you.

Rejections, denials, stale eligibility and open appeals show up on this list. Claims that are going fine stay off it.

Only what needs youEvery row says what went wrong and what to do next

Rejections and denials, kept apartOne needs a fix and a resubmit. The other needs an appeal

Filing deadlines counted downYou see the days left before the payer stops accepting it

An empty list is normalWhen there is nothing left to work, the list says so

Billing listNeeds you today

RejectedPayer ID mismatchBounced before adjudication. Fix and resubmit.Fix

DeniedAuthorization missingDenied after adjudication. Appeal or correct.Review

StaleEligibility out of dateCoverage last checked 32 days agoRe-check

✓3 worked. Nothing left.

See a demo of this

Getting paid

Payments that post themselves.

When a payer sends an ERA, Eggmed posts the available remittance and compares the payment with your contracted rates. Payer processing and follow-up timelines vary.

ERAs & reconciliation

Payments, clear at a glance.

ERAs received and posted automatically
Underpayments flagged against your contracted rates
AR, aging and revenue by payer
Raw 835 one click away

See it on your own numbers

ERA postedReceived electronically overnight

Billed$165.00

Insurer paid$122.00

Patient responsibility, copay collected$20.00 ✓

!Paid $23.00 under contractGap flagged for follow-up in the billing list

Remittance: Aetna PPO, posted Mar 31

Allowed by contract$10
160
1
2
3
4
5
650
1
2
3
4
5.00

Copay collected$20
1
20.00

Payer paid$10
120
1
220
1
2.00

Expected $145.00 after copay

!Paid $23.00 under contractBilling list

The ERA posts itself. Then what the payer paid is compared with the contract, and the gap goes to the billing list for follow-up.

See a demo of this

Remittance

Every payment, accounted for.

Payment received$140.00

Payer payment$120.00

Patient payment$20.00

Payments recordedBalances available for review

RemittancePostingFollow-up

Review remaining responsibility.

Self-pay

Self-pay that handles its own paperwork.

No payer doesn't mean no paperwork. Superbills create themselves and Good Faith Estimates go out with tracking. Clients download their own documents.

Superbills & the No Surprises Act

Paperwork clients get themselves.

Superbills generated and sent in a click
Clients download their own documents
Good Faith Estimates tracked until acknowledged
Copays at check-in, after, or in batch

What clients see in the portal

Self-pay encounterSigned. Superbill ready.

Superbill generatedCreated automatically at signingDone

Sent to clientDownloadable from their portal tooDone

GFE acknowledgedNo Surprises Act trail completeDone

Client portal: Mar 31 session

Individual therapy, 53 minSelf pay

CPT90
1
2
3
4
5
6
7
8
9080
1
2
3
4
5
6
7
830
1
2
370
1
2
3
4
5
6
7

SuperbillFinalizedSent

Good Faith EstimateAcknowledged

Download superbillDownload invoice

The superbill is generated at signing and sits in the client's portal, with the CPT code they need for their own reimbursement claim. No email to the practice.

See a demo of this

Client billing

Documents, close at hand.

InvoiceAvailable

SuperbillAvailable

Good Faith EstimateShared

Ready to accessClient billing documents in one place

PrepareShareAccess

Document availability follows practice settings.

For group practices

Billing under more than one identity?

Each billing profile has its own NPI, tax ID and states. Rules pick the right one for each encounter. A preview shows which rule fired.

Claim: CMS‑1500

24J, rendering providerSet by rule

Not setDr. A. Okafor

Rule: billing under a supervising clinician

Service delivered byJ. Meyer, LMSW

Billing providerNorthside Behavioral

When a supervisee's session is billed under their supervisor, a rule writes the supervising clinician into Box 24J. The CMS-1500 tab shows exactly what went to the payer.

Built for group practices

FAQ

Questions practices ask about billing.

If yours isn't here, ask us on the call.

Book a demo Provider Help Center

Is insurance billing an add-on?

No. Eligibility, claims, ERAs, superbills and Good Faith Estimates are all included in the same plan. There's no separate billing tier.

How do claims get submitted?

Electronically, through our built-in clearinghouse. Claims draft themselves from signed notes and pass a checklist. Then they go out, with status tracked from Draft to Paid.

What happens when a claim is denied?

It lands in your billing list with the reason attached. Rejections and denials are kept apart, because they need different work. Corrected claims are tracked separately from resubmitted ones.

My practice is self-pay only. Is there anything for me?

Yes. Superbills create themselves and clients download them from the portal. Good Faith Estimates are tracked for the No Surprises Act. Invoicing and card on file work with no payer involved.

How do copays get collected?

Your choice: at check-in, after the session, or in an end-of-day batch. Cards go on file through secure links. You can charge copays in bulk from the billing table.

Do I need a separate biller?

Eggmed provides billing software for your team or your biller. Automation handles routine steps; people review and resolve exceptions. Staffing needs depend on your practice and payer mix.

Billing from the signed note.

Eligibility that runs before the session.

Benefits, before the visit.

Claims that leave clean.

Flagged before the payer sees it.

Only what needs you.

Payments that post themselves.

Payments, clear at a glance.

Self-pay that handles its own paperwork.

Paperwork clients get themselves.

Billing under more than one identity?

Questions practices ask about billing.

Paid, posted, done.