Claims

The Fastest, Most Accurate Claims, Payments and Payer Follow-Up

Create the most accurate claims and get them paid 3× faster by leveraging the deep integration between our technology and your practice. With ENTER, healthcare providers can operate their entire revenue cycle with just one practice administrator.

Verifications

Perfect Onboarding

Eliminate costly claim rejections and rebuilds. ENTER’s Verification Engine ensures that all provider and payer combinations are thoroughly vetted before claims are released in bulk, achieving perfect accuracy from day one.

Experiments

Automatically detect new combinations of billing provider, rendering provider, facility, and payer. Instead of risking thousands of claims sent, ENTER sends 5-10 test claims first and holds the rest until verification is completed.

Evidence Collection

Every test includes credentialing phone calls, contract verification, and EFT enrollment checks. ENTER calls payers to confirm provider details and verifies accuracy within their systems.

Real-Time Dashboard

Track every piece of evidence, experiment result, and adjudication outcome. Gain full transparency into approvals, denials, and results for thousands of claims, allowing you to identify problems before they happen.

Bulletproof Launch

Before going live, ENTER runs thorough checks across your EMR integration, contract management, and all clearinghouse connections. You launch only after every step is verified and proven accurate. 

ClaimAI

Create Perfect Claims in Seconds

Get claims out the door as quickly and accurately as possible. ENTER gets 98.5% of claims from EHR to the bank without human intervention.

Automation

ENTER creates claims from your EHR data. It applies the chargemaster & contract manager rules on a per payer, per contract basis, and sends it for adjudication without help from a human.

Patient Benefits

Run real time patient eligibility verifications through the Claim AI process. If the patient is covered by multiple plans, ENTER manages the coordination of benefits.

Claim Timeline

Bring clarity to your claims. See every event, payment, phone call, and supporting document in one coherent timeline. Get useful information like payment progress, patient info, and payer details at a glance.

ENTER Coder

Coding is handled by ENTER Coder, our AI powered rules engine, working alongside professional human coders.

PaymentAI

AI Powered Payment Posting

Payment AI posts payments, spots underpayments, and follows up on denials, on its own in real time.

Payment Posting

All ERAs and EOBs are automatically posted to every claim.

Underpayment Analysis

Reconcile, in real-time, every service line adjudication response from the Payer against the contract amount.

Adjudication Engine

Payment AI identifies denials and underpayments and determines the next step to take.

DenialAI

No More Waiting on Hold

For every underpayment and denial, ENTER automatically follows up with the payer via mail, fax or payer portals.

Reconsiderations

ENTER will automatically package and transmit comprehensive claim reconsiderations without any manual intervention.

Appeals

ENTER packages comprehensive Payer Appeals with cover letters, payer-specific appeal forms, CMS1500 or 1450, EOB, supporting documentation and more

Human Investigation

Using ENTER's business intelligence, our team identifies the most significant denial trends, allowing providers to address the root causes of denials. All phone calls with the payer are recorded, transcribed, and summarized with AI.

PatientAI

Improve Patient Collections by 10%

Take complete control over your patient payment lifecycle. PatientAI gives providers control over statements, payments, refunds, and collections with smarter statement automation.

Patient Statements

White label statements and invoices are mailed to patients seconds after payer adjudication is posted. Communication SMS and Email billing reminders automatically sent post-adjudication

Customized Rules

Set custom rules through ENTER Coder by automatically sending patient bills under specific thresholds (e.g., auto-send for amounts less than $75), while flagging larger amounts for manual review.

Easy Checkout Experience

Easily add ENTER's white-label Patient Portal to your website with just a link. Patients are guided into a beautiful mobile billing system, complete with payment plans.

Autobilling

With ENTER Terminal the patient’s payment method is on file and will be automatically charged or reimbursed after adjudication.

Messaging

Your RCM Command Center

Transform reactive, scattered denial management into a structured, intelligent, and collaborative workflow.

Smarter Inbox

ENTER categorizes and threads similar problems across multiple claims (like having the same prior authorization issue affecting 1,000 claims) into one, centralized message instead of flooding your inbox.

Quickly Resolve What Matters

No more confusion and digging through multiple messages. Each message includes specific claims involved, assignee details, priority status, and complete resolution history.

Integrations
Integrations
Reporting
Reporting

Ready to Get Started?

Talk to our sales team and see how much ENTER can impact your Revenue Cycle Management today!