Enterprise Infrastructure

Billing at the Speed of
Artificial Intelligence.

We don't rely on spreadsheets. We utilize the same award-winning Waystar™ platform used by the nation's largest health systems.

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Powered by Waystar™

The #1 ranked clearinghouse in healthcare. Direct electronic connections to 2,500+ payers ensures faster adjudication and fewer "lost" claims.

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Predictive AI Scrubbing

Our engine analyzes millions of historical denials to flag errors in your claims before they are submitted. It's proactive defense.

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Bank-Grade Security

SOC 2 Type II compliant infrastructure. End-to-end 256-bit encryption. Your patient data is safer with us than in a filing cabinet.

Infrastructure Partner

Why We Run on Waystar™

In medical billing, the "clearinghouse" is the highway your claims travel on. Most billing companies choose the cheapest option, which often means using "aggregators"—middlemen who pass your data through three or four different hops before it reaches the payer. Every hop introduces a risk of data loss, formatting errors, and delays.

We chose a different architecture. A-Z Medical Billing runs exclusively on Waystar, the enterprise-grade platform used by the nation's largest hospital systems. We didn't choose it because it was the cheapest; we chose it because it maintains direct, hard-coded digital connections to over 2,500 payers.

When we submit a claim to Aetna or Medicare, it doesn't bounce through a third-party server. It travels a direct, encrypted tunnel to the payer's adjudication engine. This "Direct Connection" architecture is why our clients see 30% faster adjudication times than the industry average. We don't just submit claims; we push them through a fast lane that smaller clearinghouses simply cannot access.

Furthermore, Waystar’s automated payer policy updates mean that when Blue Cross changes a rule on Tuesday, our system is updated by Wednesday. We don't rely on sticky notes or newsletters to stay compliant; the infrastructure updates itself.

Waystar global network connectivity map
2,500+ Direct Payer Connections

Bypassing aggregators for speed.

#1 Ranked KLAS Research Award

Best in KLAS for Claims Management.

The "Minority Report" of Medical Billing

Traditional billing is reactive: submit, get denied, fix, resubmit. Our approach is predictive. We use an AI-driven scrubbing engine that analyzes your claims against millions of historical denial records to catch errors before they leave your server.

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Predictive Denial Scoring

Before a claim is released to the payer, our system assigns it a "Clean Claim Score." This algorithm checks against payer-specific rules (e.g., Aetna's specific modifier requirements vs. Cigna's). If the score is below 98%, the claim is halted and routed to a human coder for review. This prevents the "submit and pray" cycle that bloats your AR days.

Real World Scenario: You bill a Level 4 office visit with a minor procedure. The AI detects that UnitedHealthcare requires a specific modifier for this combination, while Medicare does not. It flags the UHC claim for correction automatically.
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NCCI & CCI Edit Enforcement

The National Correct Coding Initiative (NCCI) has thousands of complex rules about which codes can be billed together ("bundling"). These rules change quarterly. It is impossible for a human biller to memorize all of them. Our system updates its rule engine instantly. It automatically flags unbundling errors that would trigger an instant rejection.

Real World Scenario: A provider bills for a lesion removal and a repair on the same site. The AI flags this as a "bundled" service under current NCCI edits, preventing a certain denial and prompting the coder to verify if a modifier is appropriate.
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Frequency & Timely Filing Alerts

Every payer has different deadlines ("Timely Filing Limits") and frequency caps (e.g., "Only 1 wellness visit every 365 days"). Our engine tracks the exact date of your patient's last service and the payer's specific filing deadline. It creates a "ticking clock" priority queue, ensuring that claims close to the deadline are worked first.

Real World Scenario: A claim for a Medicare patient is nearing the 365-day filing limit. The system elevates this claim to "Critical Priority" status, alerting the manager to bypass the standard queue and submit immediately.

Seamless Integration Architecture

Switching billing companies shouldn't mean "ripping and replacing" your software. We integrate directly with your existing EHR to ensure zero revenue disruption.

Athenahealth
eClinicalWorks
NextGen
Kareo
DrChrono
AdvancedMD
Practice Fusion
Legacy Systems
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Bank-Grade Security

We treat patient data with the same rigor as financial institutions. All transmission utilizes 256-bit encryption and our infrastructure is fully HIPAA-compliant with annual security audits.

  • 256-Bit SSL Encryption
  • Full Business Associate Agreement (BAA)
  • PCI-Compliant Payment Gateways
  • No Patient Credit Card Data Stored Locally
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Real-Time Financial Dashboard

Stop waiting for monthly Excel reports. We give you a login to the same dashboard we use. You see your cash flow, denials, and aging buckets updated every 4 hours.

  • Live AR Aging Buckets (0-30, 31-60)
  • Denial Tracking by Payer & Code
  • Net Collection Rate Trends
  • 24/7 "Read-Only" Audit Access

We Play Nice With Your EHR

You do not need to change your software to work with us. Our technology layer sits on top of your existing Practice Management system via HL7 or API bridge. We pull data, scrub it, and push back status updates.

eClinicalWorks
AthenaHealth
Kareo
DrChrono
NextGen
AdvancedMD
Practice Fusion
Allscripts
+ 40 More

Your Data is Fort Knox

In an era of healthcare ransomware, we take zero risks. Our infrastructure utilizes bank-grade encryption and strict access controls. We don't just comply with HIPAA; we exceed it.

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256-Bit AES Encryption

All data is encrypted both in transit (while moving) and at rest (on servers).

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SOC 2 Type II Compliant

Independently audited security controls ensure your patient data is handled with the highest integrity.

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HIPAA SECURE