A2Z BILLINGS · INTERGY EHR

Intergy EHR billing, run where your data already lives

Your Ailment records, your fee schedules, your Intergy login. We work claims, denials, and follow-up from inside the same database your front desk and providers already use, so nothing gets re-typed into a second system before it can be billed.
Using our dedicated access and logins, we venture into your account and start working from the word go. SOPs,timelines, and workflows, are all among the important ingredients to our recipe for streamlining your medical billing.

first-pass clean claim rate
1 %
denial rate
1 %
average days in A/R
1
recovered from aged and underpaid claims
$ 1 M+
THE SYSTEM

Intergy isn't four programs. It's one record with four views.

Greenway built Intergy so a patient's clinical chart, schedule, ledger, and reporting all sit on the same database. For billing, that single fact changes how every claim gets built, held, and corrected.

Intergy EHR

Specialty templates for cardiology, pediatrics, OB/GYN, and primary care, plus e-prescribing with EPCS for controlled substances. Every encounter here becomes the source document for the charge.

Intergy PM

Scheduling, eligibility checks, and claim generation. Because it reads from the same patient record as the EHR, a charge can’t reference an encounter that doesn’t exist.

Intergy Analytics

 First-pass rate, denial rate, and days-in-A/R reporting pulled straight from live claims data, not a monthly export somebody has to reconcile.

Greenway Patient Connect

The patient-facing portal for statements and online payment, tied to the same account balance our team is working from the billing side.

 Most EHR-to-billing setups involve two systems talking to each other, and something always goes stale in the handoff. Intergy doesn’t have a handoff to lose. A guarantor field entered wrong at check-in shows up wrong on the claim, the statement, and the analytics report, because it’s the same field. That’s exactly why our first pass on any new Intergy account is a registration audit, not a claims audit.

Greenway released Novare in 2026 as an AI-native version of Intergy built on cloud infrastructure. Practices moving over keep their Ailment structure, fee schedules, and claim history, since Novare is positioned as the next version of the same record, not a separate migration. For our side of the work, that means the claim logic, hold rules, and worklists we’ve already built for a practice carry across the switch instead of getting rebuilt from scratch.

WHAT WE ACTUALLY DO IN INTERGY

Twelve things we touch inside your Intergy instance every week

Every task below happens in your Intergy login, under your audit trail. Your compliance officer can pull the log and see exactly who touched what.

Claim batching in PM

Batches are built by payer and location and go out the same day charges close, not on the next scheduled scrub run.

Charge review at the EHR-to-PM handoff

Every closed encounter is checked against its linked Ailment before it becomes a charge line, catching CPT-to-diagnosis mismatches before submission.

Hold rule configuration

Missing modifiers, unconfirmed authorizations, and stale eligibility all trigger a hold inside PM instead of going out the door and coming back denied.

Clearinghouse acknowledgment tracking

999 and 277 responses are checked daily from the claim queue, so a rejection surfaces the day it happens, not weeks later.

Denial coding and appeals

Denials are logged against the original Ailment, and appeals reference the authorization or medical necessity note already sitting in that record.

ERA posting review

Auto-posted remits are checked line by line against the contracted fee schedule before the batch closes, catching underpayments Intergy would otherwise mark as paid in full.

Patient statement cycles

Self-pay balances move through a fixed statement schedule, with visibility into which accounts are on a second or third notice.

Credentialing and enrollment upkeep

CAQH profiles and payer enrollment dates are tracked in the same database used for claims, so a lapsed enrollment shows up before it causes a denial.

A/R aging and worklist follow-up

Open balances are worked from Intergy's aging report, ordered by recoverable dollars and filing deadline instead of account number.

Analytics and reporting

First-pass rate, denial rate, and days-in-A/R are pulled monthly by payer, not just as one practice-wide average that hides where the problem actually is.

Patient Connect configuration

Portal balances, payment plans, and statement delivery preferences are kept current so patients see the same numbers we do.

Configuration and staff review

Fee schedules, hold rules, and user permissions inside Intergy get reviewed on a set schedule, so a front-desk change doesn't quietly break the billing workflow.

ALREADY PAID FOR, RARELY USED

Ten Intergy features most practices already own and don't run

Every item below ships with a standard Intergy license. Most practices we take on are using less than half of what's already turned on or one setting away from being turned on.

Automated Eligibility Verificationcapturing a photo ID and insurance card at check-in catches subscriber ID errors before a claim is ever created.

Ailment-level authorization tracking — linking an authorization to the Ailment instead of a single visit means every follow-up under that diagnosis inherits it automatically.

Predictive Order Management — Intergy's built-in order suggestion tool cuts down on missed orders, but only if someone is actually reviewing what it suggests.

Greenway Exchange connections — CommonWell and Direct messaging pull in outside records automatically, cutting down on the manual chart requests staff still make by phone.

Role-based security scoping — limiting screen and function access by job title keeps front-desk staff out of areas they don't need and limits who can void a posted charge.

Batch charge review before the appointment — checking tomorrow's schedule against current eligibility today, instead of after the patient has already been seen.

EPCS audit trail — the e-prescribing log for controlled substances doubles as documentation most practices never look at until an audit letter shows up.

Specialty-level analytics benchmarking — comparing a practice's numbers against others on the same platform in the same specialty, not just against last year.

Transaction reversal controls — voiding or reversing a posted transaction with a reason code inside Intergy, instead of a manual adjustment that breaks the audit trail.

Multi-location reporting — one aging report across every location on the shared database, instead of exports stitched together office by office.

CLAIM LIFECYCLE

Where a claim actually goes, and where we sit at each point

Twenty sub-steps across five phases. This is the order a dollar moves through your Intergy database, from the day of the appointment to the day the balance closes.

01

Phase 1 — Intake

Day 0
01

Eligibility Check

Eligibility check run before the appointment.

02

Identity Verification

Photo ID and insurance card captured at the front desk.

03

Authorization Review

Authorization or referral confirmed against the ailment.

04

Coverage Validation

Guarantor and subscriber fields verified directly from the insurance card—not assumed.

01

Phase 2 : Documentation and charge entry

Day 0–2
01

Encounter

Encounter closed by the provider

02

Charge

Charge lines checked against the linked Ailment and diagnosis

03

Modifier

Modifier and place-of-service fields reviewed

04

Charge

Charge released to the PM batch

01

Phase 3 — Claim submission

Day 2–4
01

Scrub

Scrub rules applied before release

02

Holds

Holds resolved, never skipped

03

Batches

Batches built by payer and location

04

Sent

Sent to the clearinghouse the same day

01

Phase 4 — Payer response

Day 5–20
01

checked

999 and 277 acknowledgments checked daily

02

ERA

ERA posted and matched line by line to the fee schedule

03

Denials

Denials triaged by reason code

04

Appeals

Appeals drafted against the documentation already on file

01

Phase 5 — Resolution

Day 20–45+
01

Patient

Patient statement cycle begins

02

follow-up

Self-pay follow-up on a fixed schedule

03

Adjustments

Adjustments and write-offs reviewed before posting

04

recoverable

Aging worklist closed out by recoverable balance, not by date

What actually shifts once we're in your Intergy account

DENIALS

Fewer claims come back at all Catching a coding or authorization error at charge review costs a few minutes. Catching the same error as a denial costs a phone call, a resubmission, and a line item on next month's denial report.

ACCEPTANCE

More claims clear on the first try Correct registration, current eligibility, and a valid authorization are most of what a clean claim actually needs. Across the accounts we run, that combination holds first-pass acceptance near 98%, with denials around 2%.

CASH FLOW

Balances don't sit as long Hold discipline, same-day correction on rejected claims, and a worklist that's actually followed keep money moving through A/R. Our accounts average close to 24 days.

RECOVERY

Money that was already written off Checking ERA lines against the contracted fee schedule catches underpayments before they're marked paid in full, and appeals get filed on denials that had already been adjusted off. Across our client base, that work has recovered more than $48 million.

OPERATIONS

Month-end stops being a scramble Daily posting reconciliation and consistent journal discipline mean closing the month is a checklist, not an investigation into where a batch went missing.

VISIBILITY

Reporting that points at the actual problem Analytics queries get built around a practice's own payer mix, so denial rate breaks out by payer and by CPT code instead of arriving as one number that hides where the issue actually lives.

CLINICIANS

Providers get interrupted less Fewer documentation queries and fewer mid-day billing questions, and the coding questions that do come up get handled by someone who already knows the specialty's modifier patterns.

COMPLIANCE

HIPAA posture stays intact Access is scoped by job function, a BAA is signed before any work starts, and every action taken inside the account leaves an entry in the audit trail.

THE CASE FOR US

Why practices running Intergy end up working with A2Z Billings

We work inside your system, not next to it Some billing companies ask for a data export or want you running a second, shadow system alongside Intergy. We don't. Your Intergy database stays the single source of truth, and you can log in at any point and see exactly what was done and when.

One person owns your account Not a rotating queue and not a shared inbox. The same coder learns your payer mix, your specialty's modifier habits, and your denial history, so problems get fixed faster the longer the account runs.

Coding follows the specialty A cardiology claim and a wound-care claim don't run through the same logic, and the practices we work with on Intergy span a wide range of specialties. We staff accordingly instead of treating every claim the same way.

Credentialing and billing sit under one roof A missed revalidation date is one of the more common reasons a previously clean claim starts bouncing. Running credentialing and billing together keeps a provider's Intergy setup and payer enrollment record in sync instead of drifting apart.

Pricing tracks your collections Billing fees are priced against what actually gets collected, not a flat monthly retainer. Credentialing is priced per provider, per payer. There's no long-term contract attached to either.

Track record More than 12 years in revenue cycle management, over $500 million in claim value processed, 2.7 million claims handled, a team of 100+ certified coders and billers, coverage across 45+ specialties, and a 99% client retention rate.

SPECIALTY MIX

The specialties we see most on Intergy

Intergy was built for ambulatory practices, and the accounts we run on it follow that pattern closely.

Primary &
General Care
Family practice, internal medicine, pediatrics, geriatrics, and urgent care.
Community &
Public Health
FQHCs, community health centers, and tribal health programs. FQHC billing doesn't run on a standard fee-for-service schedule, and generalist billers routinely get it wrong. We handle PPS encounter-rate logic, Medicaid wraparound reconciliation, sliding fee scales based on income and household size, and dual-eligible crossover claims. Where a site runs Greenway's combined medical-and-dental setup, we bill both sides of it.
Surgical &
Procedural
Orthopedics, general surgery, urology, gastroenterology, ophthalmology, podiatry, plastic surgery, vascular surgery, and ambulatory surgery centers.
Women's
Health
OB/GYN, including global maternity package billing, where the delivery date, the antepartum visit count, and the split-billing rules decide whether the claim gets paid at all.
Cardiology &
Internal Specialties
Cardiology, nephrology, pulmonology, endocrinology, rheumatology, and hematology-oncology.
Behavioral &
Therapy
Behavioral health, mental health, ABA therapy, physical therapy, occupational therapy, and speech therapy.
Injury-Driven
Billing
Workers' compensation, personal injury, and pain management, where the Intergy Ailment record and linked authorization carry most of the billing logic.
Multi-Site &
Enterprise
IPAs, ACOs, and multi-specialty groups running Intergy across several locations, where the department and cost-center structure decides whether the reporting means anything at all.

QUESTIONS WE GET

Yes. Your admin creates a role-based login for our team, scoped to billing functions only.

We work with whatever combination is live: PM alone, PM with EHR, or the full suite with Analytics.

Yes. The Ailment structure and claim history carry over, so our workflow moves with it.

No. We work coding and billing only. Documentation stays with your providers.

Most practices see aged claims and open holds worked down within the first 30 to 45 days.

No. Either side can end the engagement with 30 days' written notice.

Yes, including CAQH upkeep and payer enrollment tracking inside the same Intergy database.