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Epic billing services

Epic billing services from Remitwright put a dedicated biller inside your Epic Professional Billing workqueues as a user with the access the work needs: charge review, claim edits, insurance follow-up on denied, outstanding and underpaid claims, credit items, remittance exceptions and reporting.

See where claims are getting stuck. No patient data needed.

If your practice reaches Epic through Community Connect, which extends a host organization's Epic record to independent providers, we work within whatever that arrangement allows. See the full list of billing software we work in, by type.

Independent: Remitwright is not affiliated with or endorsed by Epic Systems. Epic is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • EHR and practice management

Every day

What your biller does in Epic every day

  • Work charge review so encounters become charges with the right provider, place of service and codes, cleared through the charge entry checks before anything is filed
  • Clear claim edits and scrubber messages before claims leave as 837s, and trace repeat edits back to registration, coverage or provider records so they stop recurring
  • Work the insurance follow-up workqueues, where denied, outstanding and underpaid claims wait, by payer and age, with every action and payer reference noted on the account
  • Check 835 payment posting for exceptions and route each denial with its reason to the right queue
  • Clear the credit workqueue items: undistributed payments matched to a charge or refunded, and overpayments or retroactive adjustments tracked as money the practice may owe
  • Work denials to a cause: correct and rebill, appeal with records, or send to the clinician, inside the appeal window
  • Read the standard Professional Billing reports and build the weekly one-page report from them
  • Coordinate with the host organization's billing office where a Community Connect agreement splits the work

Access

Access and security

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

  • BAA signed before any access
  • A user you create and can remove
  • MFA on every login that supports it
  • No claim files or patient lists exported
How access works

In Epic

  • Access is provisioned by your organization or the host organization with the Professional Billing access the work needs, and nothing more
  • Multi-factor authentication through your organization's login, with access visible to you and removable at any time
  • No exports to systems of ours; the work and the reports stay inside Epic

Where the biller steps in

What Epic does not do, and the biller does

  • Community Connect agreements decide what the practice can do and what the host does; where the host owns part of the cycle, we work the part that is yours and say so plainly

  • Payer-specific rules not built into the claim edits are tracked by hand in your payer notes

  • Appeals with records, peer-to-peer scheduling and payer portal work happen outside the system

  • Epic offers many reports, and someone has to choose the right ones and define the numbers; the weekly one-pager does that

Questions

Questions about billing in Epic

We use Epic through a hospital's Community Connect program. Can you still work our billing?

Usually. Arrangements vary: some leave professional billing with the practice, some keep it with the host's billing office, some split it. We work within what the agreement says and tell you plainly if it leaves no room for an outside biller.

Do you work hospital billing as well as professional billing?

Professional billing only. Epic runs Professional Billing and Hospital Billing as separate applications, and hospital billing is a different job that we do not claim to do.

What access do you need?

A user provisioned by your organization with Professional Billing access, MFA through your login, and a signed BAA before any of it. Where a host organization provisions access, we follow its process.

Which workqueues does the biller work?

The ones your organization assigns to the biller, such as insurance follow-up and credits, plus any charge or claim edit queues it routes our way. Epic describes follow-up workqueues as the place staff work denied, outstanding or underpaid claims, and credit workqueues as the place undistributed payments wait to be matched or refunded.

Which reports do you use?

The standard Professional Billing accounts receivable, denial and payment reports, read inside Epic and turned into the one-page weekly report with every number defined.

Do you handle enrollment for Epic practices?

Payer applications, CAQH and PECOS sit outside the system and we run them as with any practice. Provider and coverage records inside Epic are maintained by whoever the agreement says, and we coordinate with them.

Next step

See where claims are getting stuck. No patient data needed.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside Epic.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works