A2Z Billings works inside the PM module, Work Queue, and clearinghouse connection your practice is paying for right now. We tune what's there instead of adding another login to your day. We simply intricate stuff, making billing easier for you.
eClinicalWorks launched in 1999 and is headquartered in Westborough, Massachusetts. It bundles an EHR and a practice management system into a single cloud platform, which is why ambulatory groups, FQHCs, and multi-specialty practices use it for charting and billing under the same login. The part that touches revenue sits inside the PM module: registration, charge entry, claim scrubbing, and the Work Queue Dashboards that route an unresolved claim to whoever owns it. Most practices run a small slice of that reporting and automation, usually because it was set up once at go-live and never revisited since. Our job is to turn on the parts of eCW a practice is paying for but not using.
Not a menu you have to assemble yourself.
Fee schedules, provider mapping, and payer rules kept current so claims don't stall on setup errors.
Templates and alerts adjusted as payer rules change, instead of staff working around outdated defaults.
Charge entry through final payment, handled inside the PM module you run today.
Registration, coding, and follow-up tracked as one connected process, not three separate tasks.
Front desk and clinical staff trained on the pieces of eCW that affect clean claim rates.
Task routing rebuilt around how claims move through your practice, not a generic default queue.
CAQH upkeep, payer enrollment, and revalidation tracked before a lapse turns into a denial.
Scrubbing, batching, and clearinghouse transmission monitored every day, not once a week.
ERA and EFT posted against the correct contract line, not a flat allowed amount.
Denials worked back to the root cause instead of resubmitted unchanged and hoped for.
eBO dashboards built around the numbers a practice checks weekly, not a canned template.
Scrubbing conflicts and Work Queue errors traced back to the setting that caused them.
Your dedicated A2Z coder logs into the same eClinicalWorks instance your front desk uses. Nothing gets exported to a second system, and nothing about your eligibility rules or Work Queue setup changes unless your practice asks for it. Every claim that clears native scrubbing goes through a second manual review before it reaches the clearinghouse. We call this layer Fusion EDI, a second set of eyes that catches errors an automated scrub rule doesn't, before a payer ever sees the claim.
Our first-pass acceptance rate holds above payer averages for one reason: someone checks the claim twice before it leaves the building. A holistic sequence of scrubbing techniques mitigates error well before it lands in the payer systems. This not only contributes to sound billing but also reduces the time spent on denial management
Claims sorted by age and reason, so a biller opens the queue already knowing what to work first.
Color-coded task icons that flag eligibility issues and pending authorizations before a claim goes out.
Custom, metadata-based reports built around what your practice tracks, not a canned template.
eCW's built-in edits, checked again before the claim reaches TriZetto or Waystar.
Remittances posted automatically, then checked against the fee schedule for underpayments.
Patient balances and statements routed through the portal patients use to message their provider.
Scanned EOBs and paper remits converted and posted without manual re-entry.
The front desk confirms insurance at scheduling, not at check-in. eCW's eligibility check runs against the payer in real time, so a lapsed policy gets caught before the appointment instead of after the claim bounces back.
Charges are entered against the encounter the same day. CPT, ICD-10, and modifier combinations get reviewed for medical necessity before the claim leaves the PM module.
The claim clears eCW's native scrub rules, then a manual second review, then routes to TriZetto Provider Solutions or Waystar in the same nightly batch as every clean claim.
A denial lands in the Work Queue with a reason code attached. We work the root cause, whether that's a missing modifier, an expired authorization, or a coordination-of-benefits issue, rather than resubmit the same claim untouched.
ERA and EFT post automatically, then get checked against the contracted rate. Whatever the payer doesn't cover routes to patient billing through healow, on a statement schedule your practice sets.
Denial trends, AR aging, and first-pass rates get reviewed inside eBO on a set schedule, so a recurring problem gets fixed at the source instead of resubmitted every month.
The front desk confirms insurance at scheduling, not at check-in. eCW's eligibility check runs against the payer in real time, so a lapsed policy gets caught before the appointment instead of after the claim bounces back.
Charges are entered against the encounter the same day. CPT, ICD-10, and modifier combinations get reviewed for medical necessity before the claim leaves the PM module.
The claim clears eCW's native scrub rules, then a manual second review, then routes to TriZetto Provider Solutions or Waystar in the same nightly batch as every clean claim.
A denial lands in the Work Queue with a reason code attached. We work the root cause, whether that's a missing modifier, an expired authorization, or a coordination-of-benefits issue, rather than resubmit the same claim untouched.
ERA and EFT post automatically, then get checked against the contracted rate. Whatever the payer doesn't cover routes to patient billing through healow, on a statement schedule your practice sets.
Denial trends, AR aging, and first-pass rates get reviewed inside eBO on a set schedule, so a recurring problem gets fixed at the source instead of resubmitted every month.
Eligibility confirmed before the visit, not argued about after.
Access stays inside your existing eCW permissions, with nothing exported elsewhere.
eBO dashboards built around what your practice checks, not what a vendor assumes.
Less time spent on billing questions during patient hours.
A2Z Billings is based in Michigan and works entirely inside the eClinicalWorks systems our clients run day to day.
No. You keep your existing eCW contract. We work inside it.
No. We ask for the specific billing and Work Queue permissions the job requires, nothing broader.
We confirm your version during onboarding and build our workflow around it.
Yes. Most engagements start that way, split by task rather than a full handoff.
A rejection never reaches the payer's adjudication system. A denial does, and comes back with a reason code.
Yes. Custom reporting is part of the engagement, not a separate add-on.
Yes, as long as each location has its own PM setup we can access.
Yes. We work inside your existing HIPAA-compliant eCW permissions and export nothing to outside systems.