Professional Billing & Management
Increase Service Levels and Deliver More Value to Your Medical Billing Clients
With a full range of billing management functions to streamline the fee-for-service insurance billing and collection process, from insurance claim submission to posting electronic remittance advice (ERA), our Professional Billing Management solution suite helps your medical billing company increase service levels while delivering more value to your clients. Ensure an accurate, up-to-date patient ledger and provide greater visibility across all practice areas with native tools and financial reporting, including productivity reports by provider or service type, accounts receivable reports, and practice-wide revenue reports.

- i3 Verticals
- Healthcare
- Clinical & Patient Engagement Solutions
- Professional Billing & Management
Technology to Transform Healthcare Billing Tasks
Modernize your approach to patient billing and claims reimbursement with a suite of applications that completely transform traditional billing tasks. Leverage workflows and intelligent automation to speed processing while ensuring accuracy and compliance.
The Professional Billing & Management Suite
i3 Professional Billing
Optimized claims management and payment processes for medical billing clients.
- Claim Submission: Allow for easy electronic submission of insurance claims directly to payers through a range of direct connections or integrated clearinghouse functionality, simplifying the claims process.
- Payment Posting: Leverage a rules-based engine to automatically post payments based on predefined criteria, with straightforward handling of exceptions for quick and accurate posting.
- Financial Reports: Comprehensive suite of reporting tools available natively within the solution, with the option to export data to standard formats for additional reporting needs.

Patient Portal
Empower authorized users with secure access to clinical and administrative information.
- Improved Information Access: Provide authorized users secure access to all patient clinical and administrative information via computer, laptop, tablet or phone.
- Shorten Payment Cycles: Send secure reminder messages about outstanding balances due to speed time to collection.

Patient Payments & Collections
Reduce time to collect while increasing payment posting speed and accuracy.
- Electronic Payment Options: Automate text and email balance due reminders with direct links to pay online.
- Flexible Payments: Include a QR code/URL on paper notifications to provide patients with the flexibility to pay their balances however is most convenient for them.
- Accurate Patient Ledgers: Post all payments to the patient ledger automatically in either the i3 Professional Billing solution or seamlessly integrate with your existing billing and financial management application using our interoperability tools.
- In-Clinic & Phone Payments: Enable your staff to quickly and easily engage with patients and capture payments at the time of service during check-in, checkout, or over the phone with an integrated credit card terminal and/or virtual terminal.
- Patient Self-Pay: Provide patients with secure access to an online payment portal to quickly view and pay outstanding balances.
- Payment Processing: Our secure card processing platform helps increase efficiency by consolidating payment reporting while minimizing processing fees and ensuring PCI compliance.
- Automated Posting: Automatically post all payment activities to the patient ledger in i3 Professional Billing or, with our interoperability tools, to your existing billing and financial management application.
- Patient Payment Plans: Set the number of months or minimum dollar amount and automate monthly charges to improve large balance collections.

Embedded Clearinghouse
Increase first-time claims submission acceptance rates and shorten payer reimbursement cycles.
- Electronic Claim Submission: Enable secure transmission of claims to hundreds of payers. Our HIPAA-compliant functionality pre-screens and cleans medical claims data against Correct Coding Initiative (CCI), Local Coverage Decisions (LCD), and National Coverage Decisions (NCD) standards before securely sending the data to the specified payer.
- Electronic Remittance Advice: Provide detailed explanations of medical insurance payments from a wide network of connected payers, simplifying the reconciliation process.
- Insurance Eligibility: Allow for quick and efficient verification of insurance coverage, either individually by patient or in batch mode. Automate it to run prior to scheduled appointments or claim submissions, ensuring up-to-date eligibility information.
- Embedded Workflow: Integration capabilities drive streamlined workflows, leading to faster and more accurate medical claims billing processes.
Learn more by downloading our full product brief.