E-TECH EHR + A2Z BILLINGS

E-Tech charts it. We collect it.

Practices running E-Tech already have a capable EHR underneath them. A2Z Billings sits inside that system and runs the parts of the revenue cycle a chart can't finish on its own: eligibility checks, specialty-matched coding, first-submission accuracy, payment posting, and follow-up on every account that starts to age.

96%

clean-claim rate on first submission

21

average days in A/R

9+

years running billing inside EHR platforms

60+

specialties coded across our book

- WHAT E-TECH DOES, AND WHERE IT STOPS -

The chart closes the visit. It doesn't close the claim.

E-Tech is built to document care, not argue with payers. It generates the encounter, carries the codes a provider enters, and pushes a claim out the door. What happens next (whether a payer honors those codes, whether a modifier survives a bundling edit, whether a denial is worth fighting) sits outside what any EHR is designed to decide.

MECHANICS

WHAT THE SOFTWARE HANDLES

JUDGMENT

WHAT THE BILLER DECIDES

Disclaimer line below

A2Z Billings isn’t affiliated with E-Tech and doesn’t build or sell the software. We work as an outside billing team inside whatever EHR a practice already runs, and E-Tech happens to be one of them.

HOW WE OPERATE INSIDE E-TECH

One login. Four jobs handled from inside it.

01
FRONT END

Registration & Eligibility

  • Coverage verified against the payer before the appointment is confirmed.
  • Prior-authorization flags set on the encounter, not chased down after the fact.
02
SPECIALTY MATCH

Coding Matched to Specialty

  • ICD-10, CPT, and HCPCS assigned by coders who work that specialty only.
  • Charges checked against payer rules and quarterly code updates before submission.
03
PAST DUE, LATE

Posting, Denials & A/R

  • ERAs posted and reconciled against the fee schedule the same week they land.
  • Denials routed to a fixed follow-up schedule instead of a general queue.
04
ENROLLMENT

Credentialing & Payer Setup

  • Payer enrollment and re-validation tracked so nothing lapses mid-contract.
  • EDI, ERA, and EFT enrollment handled once per payer, not once per claim.
CLAIMS WE'VE ACTUALLY WORKED

What goes wrong inside E-Tech, and how it gets caught

SCRUBBER

Clean in E-Tech, rejected at the payer

E-Tech's built-in scrubber checks formatting, not payer-specific edits. A claim can clear every internal flag and still bounce on a bundling rule the software was never built to check.

TELEHEALTH

The modifier E-Tech doesn't default to

Telehealth visits need a place-of-service and modifier combination that shifts by payer and by state. Left on the encounter's default, a claim underpays without ever denying outright.

POSTING

An ERA that auto-posted the wrong balance

Auto-posting is fast, but it accepts whatever the remit says. A contractual adjustment coded wrong by a payer posts clean and quiet, and the shortfall goes unnoticed unless someone checks it against the fee schedule.

AUTH

A prior auth on file, attached to the wrong CPT

The authorization existed. It just didn't cover the code that ended up on the claim after a plan changed mid-visit. E-Tech has no way to catch that mismatch on its own.

PATTERN

One denial code, three different root causes

The same denial reason on five claims rarely means the same problem. Tracing each one back to registration, coding, or a payer policy shift is what actually stops the code from recurring.

THE PATH OF A CLAIM

Thirteen checkpoints. Any one of them can lose the payment.

A claim inside E-Tech passes through this many checkpoints between the visit and the deposit. Our workflow is built to cover every one, not just the ones the software already handles on its own.

01

Registration FRONT DESK

Demographics and insurance captured before the visit is even scheduled.

02

Eligibility & Benefits E&B

Coverage and benefit level confirmed against the payer, not assumed from last visit.

03

Authorization Tracking AUTH

Referrals and pre-certs logged against the specific service planned, ahead of the date of service.

04

Charge Capture CHARGES

Every billable service on the encounter reconciled against the schedule, not just what got typed in.

05

Coding CPT / ICD

Codes assigned by specialty and checked against current payer edits.

06

Claim Scrubbing PRE-SUBMIT

A second pass beyond E-Tech's default scrubber, built around payer-specific rules.

07

Submission & Acknowledgment 837 / 999

Clearinghouse acknowledgment confirmed for every claim, not only the ones that error out.

08

Front-End Rejections 277CA

Rejections worked the same day so a claim doesn't sit past a timely-filing window.

09

Payment Posting ERA / 835

Remits posted and checked line by line against the contracted rate, not just the total.

10

Denial Management APPEALS

Denials sorted by reason and routed to whoever can actually fix that reason.

11

A/R Follow-Up AGING

Aging buckets worked on a set schedule instead of oldest-balance-first.

12

Patient Statements BALANCES

Patient responsibility billed only once the payer side is fully resolved.

13

Reporting KPI

Denial and A/R trends reported back in terms a practice can act on, not raw exports.

WHAT ACTUALLY CHANGES

Numbers move. That's the point.

Fewer denials at the door

Claims built to survive the payer’s edits, not just E-Tech’s format check.

A/R that doesn't sit

Aging worked in order of what’s collectible, not just what’s oldest.

Underpayments actually recovered

Every ERA checked against the contracted rate before it’s marked resolved.

Less pulled from your front desk

Eligibility and auth work moved off staff who are already covering patient care.

Reporting you can act on

A monthly view of where claims get stuck, by payer and by code.

Handled the way HIPAA requires

PHI stays inside access-controlled systems, under a signed BAA covering the work.
WHY A2Z, SPECIFICALLY

Every E-Tech client runs the same software. We're the variable.

01

A dedicated coder, not a shared queue

One coder learns your specialty and payer mix instead of rotating through a general pool.

02

Coding built around your specialty

A cardiology claim and a behavioral health claim don't get the same eye. Ours don't either.

03

An audit before we touch anything

We review 90 days of your E-Tech claims data and show you where money is sitting before you sign anything.

Straightforward Pricing

3.99% of collections

Contract length and applicable regulations are customized to the practice needs.

  • Eligibility, charge entry, and coding included
  • Claim submission and denial management included
  • Payment posting and A/R follow-up included
  • No setup fee, priced only on what's collected
Start a Free Audit →
SPECIALTIES WE CODE FOR

Coding changes by specialty. it So does our coder.

Primary Care & Internal Medicine
High E/M volume, frequent modifier 25 use, and preventive-visit bundling that gets missed often.
Behavioral Health
Time-based codes, telehealth place-of-service rules, and session-limit tracking by payer.
Physical, Occupational & Speech Therapy
Unit-based billing tied closely to documented minutes and plan-of-care recertification.
Specialty & Procedural Practices
Higher-dollar claims where one modifier or bundling edit changes the payment outcome.
Community & Outpatient Clinics
Sliding-scale billing, Medicaid managed-care rules, and high patient volume on thin margins.
See Every Specialty We Support →
QUESTIONS BEFORE YOU CALL

A few things people ask first.

No. We work inside E-Tech as it's already set up, with no migration and no new login for your staff.

Directly through E-Tech. Your claims, remits, and reports stay inside the system you already use.

Most practices hand off within a week. We shadow the existing workflow first so nothing gets dropped mid-transition.

Under a signed BAA, with access limited to the staff working your account inside E-Tech's existing permission structure.

By checking claims against payer-specific edits before submission, not just E-Tech's default scrubber.

Just EDI, ERA, and EFT enrollment if it isn't active already. We handle that setup.

Yes, including re-validation, so a lapsed enrollment doesn't turn into a stretch of unpaid claims.

A flat percentage of what we actually collect. No collections, no fee.