BillingBeam replaces the manual coding, claim rework, and spreadsheet tracking that consume your billing team's time. Here is everything it does.
BillingBeam reads physician notes, operative reports, and encounter documentation to suggest the most accurate CPT and ICD-10 codes. The AI cross-references payer-specific guidelines, LCD/NCD policies, and modifier requirements to maximize reimbursement while staying compliant.
Every code suggestion includes a confidence score and supporting documentation reference. Your coders review and approve in seconds instead of spending minutes per encounter on manual lookup.
Natural language processing reads clinical notes and maps diagnoses, procedures, and services to the correct CPT and ICD-10 codes automatically.
AI flags potential upcoding risks and identifies downcoded encounters where documentation supports a higher-value code.
Automatically suggests appropriate modifiers (25, 59, 76, etc.) based on encounter context, preventing denials from missing or incorrect modifiers.
Built-in coding rules for 30+ medical specialties including orthopedics, cardiology, dermatology, primary care, and surgical specialties.
Before any claim leaves your office, BillingBeam runs it through a comprehensive pre-submission scrub. It checks for missing demographics, invalid codes, payer-specific requirements, timely filing limits, authorization numbers, and referring provider information. Claims that pass are submitted electronically to clearinghouses and payers.
Claims that fail the scrub are routed to your billing team with specific, actionable error descriptions — not cryptic rejection codes. Most issues are auto-corrected before your team even sees them.
Over 2,000 edit checks per claim: demographics, eligibility, code validity, bundling rules, medical necessity, and payer-specific requirements.
Submit claims individually as encounters are completed or in daily batches. Supports all major clearinghouses and direct payer connections.
Real-time eligibility checks before claim submission. Verifies coverage, copay amounts, deductible status, and authorization requirements.
Tracks filing deadlines by payer and alerts your team before claims approach the timely filing limit. Never lose revenue to late submissions.
When claims are denied, BillingBeam automatically categorizes the denial reason, determines if the claim is appealable, and drafts a payer-specific appeal letter with supporting documentation. For simple denials — wrong subscriber ID, missing modifier, or coding error — the system corrects and resubmits without human intervention.
The denial analytics dashboard reveals patterns: which payers deny most, which CPT codes trigger denials, and which providers have the highest denial rates. Use these insights to fix root causes and prevent denials before they happen.
AI drafts appeal letters using payer-specific templates and attaches relevant clinical documentation. Your team reviews and submits in one click.
Identify root causes of denials by payer, provider, CPT code, and denial reason. See trends over time and measure improvement.
Simple denials (wrong ID, missing info, coding errors) are automatically corrected and resubmitted without staff intervention.
Track every appeal through the process: submitted, under review, approved, or escalated. Know exactly where each denied claim stands.
BillingBeam gives every patient a branded online portal where they can view their balance, review itemized statements, set up payment plans, and pay with credit card, debit card, or ACH. Automated payment reminders go out via email and text at intervals you control.
The result: 70% fewer billing-related phone calls, faster patient collections, and happier patients who appreciate the transparency and convenience.
Patients pay securely with credit card, debit card, HSA/FSA card, or ACH bank transfer. PCI DSS compliant payment processing.
Offer flexible payment plans for larger balances. Patients set up auto-pay and BillingBeam handles the rest — no manual tracking required.
Send payment reminders via email and SMS at configurable intervals: friendly at 15 days, firm at 30 days, final notice at 45 days.
Patients see clear, itemized breakdowns of charges, insurance payments, adjustments, and their remaining balance — no confusing medical jargon.
BillingBeam automatically downloads and posts electronic remittance advice (ERA) from payers. The system matches payments to claims, applies contractual adjustments, calculates patient responsibility, and identifies underpayments against your contracted rates — all without manual data entry.
For paper EOBs, the AI reads scanned documents and posts payments with the same accuracy. Your team spends minutes reviewing what used to take hours.
Electronic remittance advice from all major payers is downloaded and posted automatically. Payments match to claims with 99.5% accuracy.
Compares actual payments against your contracted fee schedules. Flags underpayments and generates follow-up tasks for your billing team.
Scan paper EOBs and BillingBeam's AI reads and posts them. Handles multi-page EOBs, bundled payments, and complex adjustment codes.
Automatically calculates patient responsibility after insurance payment and applies it to the patient's account for portal billing.
BillingBeam provides comprehensive revenue cycle dashboards that update in real time. Track days in AR, net collection rate, denial rate, clean claim rate, and payer mix across your entire practice. Drill down by provider, location, payer, or CPT code to identify opportunities and problems.
Monthly trend reports show improvement over time so you can demonstrate ROI to practice leadership. Benchmark your metrics against industry standards to see where you excel and where there is room to improve.
Track days in AR, net collection rate, denial rate, clean claim rate, and charge lag — all updated in real time as claims move through the cycle.
See which payers pay fastest, which deny most, and which underpay. Use data to negotiate better contracts and prioritize follow-up.
Compare coding accuracy, charge capture, and collection rates across providers. Identify coaching opportunities and top performers.
Build custom reports for practice leadership, accountants, or board meetings. Export to PDF, Excel, or schedule automated email delivery.
14-day free trial · No credit card required