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Billing & Claims Integrations

CareLaunch provides comprehensive integration capabilities with billing systems and clearinghouses to streamline revenue cycle management and ensure accurate claims processing.

Available Billing Integrations​

Clearinghouse Connections​

CareLaunch supports connections to major healthcare clearinghouses, enabling:

  • Electronic Claims Submission: Streamlined submission of claims to multiple payers
  • Eligibility Verification: Real-time insurance eligibility checks
  • Claim Status Inquiries: Track the status of submitted claims
  • Electronic Remittance Advice (ERA): Automated payment reconciliation
  • Denial Management: Tools to identify and address claim denials

Practice Management System Integration​

Connect CareLaunch with your practice management system for:

  • Charge Capture: Automated transfer of billable services
  • Patient Statement Generation: Streamlined patient billing
  • Payment Posting: Efficient recording of payments received
  • Financial Reporting: Comprehensive financial analytics

Implementation Approach​

Data Mapping​

Our implementation team will work with you to map data between CareLaunch and your billing system:

  • Procedure Codes: Ensuring accurate CPT/HCPCS code transmission
  • Diagnosis Codes: Proper ICD-10 code mapping
  • Provider Information: NPI and other provider identifiers
  • Place of Service: Correct facility and location codes
  • Patient Demographics: Essential information for claims processing

Workflow Integration​

We integrate billing processes into your clinical workflows:

  1. Encounter Documentation: Clinical documentation is completed in CareLaunch
  2. Charge Creation: Services are automatically translated to billable charges
  3. Claim Generation: Complete claims are created with required fields
  4. Submission Processing: Claims are electronically submitted to payers
  5. Payment Reconciliation: Payments are matched to claims and posted

Security & Compliance​

All billing integrations are designed with strict security and compliance features:

  • HIPAA Compliance: All data transfers adhere to HIPAA requirements
  • Data Encryption: End-to-end encryption for all financial and PHI data
  • Audit Trails: Comprehensive logging of all billing activities
  • Role-Based Access: Granular control over who can access billing functions
  • Secure Credentials Management: Secure storage of integration credentials

Benefits​

  • Reduced Administrative Burden: Eliminate duplicate data entry between systems
  • Accelerated Reimbursement: Speed up claim submission and payment posting
  • Improved Accuracy: Reduce claim rejections through standardized data mapping
  • Enhanced Financial Visibility: Gain insights into your revenue cycle
  • Streamlined Reconciliation: Match payments to services automatically

Supported Systems​

CareLaunch offers flexible billing system integration capabilities through our FHIR-based API. Rather than limiting to specific vendor integrations, our platform can connect with any billing system that supports standard healthcare data exchange formats.

The integration framework supports:

  • Standard EDI formats: X12 837/835 claim and remittance formats
  • API-based integrations: REST or SOAP APIs for modern billing systems
  • File-based exchanges: Secure file transfers for batch processing
  • Custom integrations: Tailored connections for proprietary systems

Our implementation team will work with you to determine the most efficient integration approach based on your existing billing infrastructure.

Getting Started​

To implement a billing integration, contact your CareLaunch account manager or email support@carelaunch.health. Our team will:

  1. Assess your current billing workflow
  2. Review your existing billing system(s)
  3. Develop an integration implementation plan
  4. Configure secure connections between systems
  5. Test the integration in a non-production environment
  6. Deploy to production with ongoing support