The part everyone dreads, mostly handled.
Eligibility checks itself three days before each session. Claims file to the clearinghouse from the signed note. ERA payments post themselves to the right service lines. And when a payer says no, the denial lands with the reason already on it.
Claims · this week
837P| Client | CPT | Billed | Status |
|---|---|---|---|
| Maya R. | 90834 | $140 | accepted |
| Theo M. | 90837 | $175 | in review |
| Priya K. | 90791 | $200 | draft |
Eligibility that checks itself.
Readya runs an eligibility check three days before each scheduled appointment and shows what matters: copay, coinsurance, deductible met and remaining, in-network status and covered codes. Run one by hand anytime from the appointment or the client profile.
Eligibility-result card: payer, "In network", copay, a deductible-met progress bar, and covered codes 90834/90837.
File from Readya. ERAs post themselves.
Claims build from the signed note's service lines and submit electronically with a real-time acknowledgement. When the remittance comes back, ERA payments auto-post to the matching service lines — with the allowance and adjustment laid out, CARC/RARC codes spelled out in plain words.
ERA detail: payer, check number, paid amount, a per-service-line "allowed / adjustment / paid" table, and a CARC code chip with a plain-language tooltip.
Denials that explain themselves.
Rejections and denials land in a queue with the reason attached — and the next move one click away.
Rejection & denial queues
Clearinghouse rejects and payer denials, each with its reason code broken out — not buried in a PDF.
Correct & resubmit
Common errors get a one-click correct-and-resubmit. Prior authorizations track sessions used vs. authorized, with expiry alerts.
Appeal with the paper trail
Attach documents, set a follow-up date, and track the appeal — while denial analytics show your top CARC codes by payer.
Insurance, answered.
Do I need a separate claims account?
No. Claims file from Readya with electronic enrollment per payer — there's nothing separate to log into.
Does Readya really check eligibility automatically?
Yes. Each scheduled appointment triggers an eligibility check three days out, and you can run one manually anytime.
How are denials handled?
They land in a denial queue with CARC/RARC reasons. Correct-and-resubmit handles common errors; appeals carry document attachments and follow-up tracking.
Bill insurance without the spreadsheet.
File your first batch this week. The first three clients are on us.