Revenue Cycle Workflows for Clinics and Laboratories
ScoreHealth supports billing workflows across ScoreEMR and ScoreLIS, helping teams manage eligibility, claims, denials, status tracking, and payment workflows with less manual work.
Real-Time Eligibility Verification
Check patient insurance eligibility before services are performed to reduce billing delays and front-end errors.
Claim Creation & Submission Workflow
Organize claim creation, CMS-1500-style workflows, payer information, diagnosis codes, and procedure codes.
Claim Status Tracking
Track claim progress from submission to payer response, including pending, accepted, rejected, and denied states.
ERA / 835 Posting Concept
Electronic remittance advice and 835 payment information support payment posting, reconciliation, and visibility.
Rejected & Denied Queues
Dedicated queues for rejected and denied claims help billing teams prioritize corrections and follow-up tasks.
Billing Dashboard
Financial visibility across submitted claims, unpaid balances, denials, and accounts requiring attention.
Insurance Discovery Concept
Designed to assist in identifying possible coverage when patient insurance information is missing or outdated.
Coordination of Benefits Support
Manage primary, secondary, and tertiary insurance workflows to organize payer responsibility clearly.
CMS-1500-Style Workflow
Supports familiar professional claim workflows designed to assist with CMS-1500-style billing requirements.
Patient and Lab Balance Separation
Separate patient responsibility, clinic balances, laboratory balances, and payer balances for accurate tracking.
Audit Logs & Role-Based Access
Billing security and accountability through user permissions, audit trails, and role-based access control.