eClinicalWorks Integration

Expert RCM services that run inside eClinicalWorks

We handle your complete revenue cycle directly within your eCW environment — claims, denials, payment posting, and AR follow-up. No platform change. No learning curve for your team.

98.4%

Clean claim rate

<18d

Average days in AR

100%

Eligibility before visit

24h

Denial follow-up SLA

What We Manage

Full billing cycle management — your eCW account, our billing expertise

We operate inside your eClinicalWorks environment with role-based access. Your clinical staff sees no change to their workflow. We handle everything on the billing side.

Charge Entry & Claim Scrubbing

We review and enter charges within 24 hours of encounter — catching missing modifiers, unbundling issues, and diagnosis-procedure mismatches before submission to the clearinghouse.

eCW Denial Worklist

We work the eCW denial queue every business day — sorting by root cause (authorization, coding, eligibility, timely filing), correcting errors, and resubmitting claims the same day.

ERA & EOB Payment Posting

Electronic remittances auto-posted and reconciled daily. Paper EOBs keyed within 48 hours. Every contractual adjustment reviewed — underpayments appealed before the window closes.

AR Follow-Up & Collections

Systematic follow-up on all outstanding claims using eCW's AR aging module — prioritized by balance and days outstanding. No balance over $200 goes 30 days without a documented action.

Insurance Eligibility Verification

Real-time and batch eligibility checks through eCW for all scheduled patients — run 48 hours before appointments. Coverage gaps, plan changes, and high-deductible flags reported to your front desk.

eCW Reporting & Analytics

Weekly KPI reports built from eCW data — clean claim rate, denial rate, collection rate, AR aging by payer, and provider-level productivity metrics. Delivered every Monday before 9 AM.

eClinicalWorks-specific billing optimizations

eCW has powerful billing features that most practices never fully configure. We set them up and actively maintain them — each one directly reduces denials or accelerates collections:

eCW claim rules engine configured for your specialty mix

Payer-specific fee schedules and contract setup

Clearinghouse rejection queue monitoring (Office Ally, Waystar)

eCW v12 vs v11 module differences accounted for

Prior authorization tracking and follow-up alerts

Secondary insurance billing and COB coordination

Patient ledger cleanup and credit balance resolution

eCW healow portal patient statement integration

eCW Billing Modules We Work In

We know every billing module in eClinicalWorks

PM Billing Module Daily

Charge entry, claim scrubbing, batch submission, and clearinghouse monitoring — worked daily to maintain a <48-hour claim turnaround.

Denial Management Queue Daily

Every denial categorized, corrected, and resubmitted within 24 hours. Root-cause analysis reported weekly so patterns get fixed at the source.

AR Aging Report Weekly

Systematic follow-up using eCW's aging buckets — 0-30, 31-60, 61-90, 90+ days. Priority given to balances over $500 or approaching timely-filing limits.

ERA / EOB Management Daily

Auto-post rules configured and maintained. Unmatched ERA transactions and paper EOBs resolved same-day. Contractual underpayments flagged for appeal.

eCW Reports Module Weekly

Provider productivity, payer-level collection rate, denial rate by category, and AR aging snapshots — formatted and delivered to practice leadership weekly.

Eligibility Hub Pre-visit

Batch eligibility checked 48 hours before all appointments. Real-time verification at check-in for walk-ins. Coverage issues escalated to front desk with exact plan details.

Running eClinicalWorks? Let us audit your current billing performance.

We'll review your eCW data — clean claim rate, denial patterns, and AR aging — and show you exactly where revenue is being lost and what we'd do to fix it. Free, no commitment.

Get Free eCW Billing Audit →