Streamlined Healthcare Billing with EMR, PMS & Clearinghouse
Practice Management System
A Practice Management System (PMS) / Billing Software is a specialized healthcare platform that streamlines the daily operations of medical practices by integrating appointment scheduling, insurance verification, billing, and claims management under one platform.
Key Functions
Patient Registration
Register patients with complete demographic and insurance information.
Insurance Verification
Check patient eligibility in real time before appointments to reduce claim denials.
Scheduling & Reminders
Easy scheduling of appointments and automatic text reminders to reduce no-shows.
Claims Management
Generate and submit claims electronically using accurate CPT/ICD coding.
Payment Posting
Record insurance and patient payments, ensuring accounts are up to date and revenue is tracked correctly.
Denials Handling
Track claim status and manage rejections and denials effectively.
Follow-up
Keep track of unfinished claims, like unpaid patient bills and insurance claims.
Financial Reporting
Customizable reporting with filters for provider, payer, location, or time period.
Patient Statement
The bill from the practice after insurance response, sent to the patient by mail or online.
Practice Management System Pricing Comparison
| Features | Tebra | AdvancedMD | eCW |
|---|---|---|---|
| PMS – Low volume | $179.00 | - | - |
| PMS – Full Time | $359.00 | $429.00 | - |
| EMR+PMS (Full time) | $599.00 | $729.00 | $599.00 |
| EMR+PMS (Low volume) | $299.00 | - | $299.00 |
For low volume up to 50 e-claims can be submitted, for each additional claim will be charged $0.99
Disclaimer: Prices shown are estimates as of August 2025. For the most accurate and up-to-date pricing, please confirm with each PMS directly. Do your research before making a final choice.
Electronic Medical Record
An Electronic Medical Record (EMR) is the digital version of a patient’s paper chart used in a single doctor’s office or clinic. It keeps all the patient’s health information in one place, making it easier for the practice.
Key Features
Patient Medical History
Keeps records of past illnesses, allergies, vaccines, surgeries, and test results.
Clinical Notes
Stores doctors' notes, visit summaries, and treatment plans in one place.
Orders & Results
Allows doctors to order lab tests or scans and view results in the same system.
E-Prescribing
Sends prescriptions to pharmacies and tracks medicines, doses, and refills.
Alerts & Reminders
Reminds doctors about preventive care and flags unsafe medicines or abnormal results.
Electronic Medical Record pricing Comparison
| Features | Tebra | AdvancedMD | eCW |
|---|---|---|---|
| EMR – Low volume | $119.00 | - | - |
| EMR – Full Time | $239.00 | - | - |
| EMR+PMS (Full time) | $599.00 | $729.00 | $599.00 |
| EMR+PMS (Low volume) | $299.00 | - | $299.00 |
Disclaimer: Prices shown are estimates as of August 2025. For the most accurate and up-to-date pricing, please confirm with each vendor directly. Do your research before making a final choice.
Clearing House
A Clearinghouse (CL) is a third-party platform that connects healthcare providers with insurance companies. The key role is to check and transmit claims electronically, ensuring they meet payer requirements before reaching the payer. The Clearinghouse also transmits payment details in the form of an Electronic Remittance Advice (ERA) back to the provider’s billing software.
Billing Features
Confirms if the patient’s insurance coverage is active before the appointment.
Allows providers to send claims to multiple payers through one platform.
Checks and notifies the errors in the claims back to the billing system to reduce payer denials.
Provides detailed payment information and explanations of claim adjudication from payers, automatically integrating the data into the provider’s billing system for easier reconciliation and tracking.
Provides real-time visibility on the claim submission status and ensures successful transmission to the payer.
Clearinghouse Fees by Vendor
A clearinghouse fee is the charge a vendor sets for using its system to process claims and remittances electronically. The usual cost charged by some vendors are:
| Features | Tebra | AdvancedMD | eCW |
|---|---|---|---|
| Clearinghouse fee (Trizetto) | $0 (included in PMS) | $0 (included in PMS) | $89.00 |
| Clearinghouse fee (Waystar) | N/A (not offered) | N/A (not offered) | $89.00 |
Disclaimer: Costs shown are approximate (as of August 2025). For the most accurate and updated pricing, please contact the vendor directly. The decision is yours—do your research before finalizing.
Patient Statement Paper Cost
A patient statement is a medical bill that a healthcare provider (doctor’s office, hospital, or clinic) sends to a patient, outlining the services provided, the amount covered by insurance, and the remaining balance the patient is responsible for paying.
Why We Send Patient Statements
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💡Patient Engagement & Transparency: Statements keep patients informed about balances with a clear breakdown of charges.
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📜Compliance Requirement: Regulations like HIPAA and the No Surprises Act mandate clear communication of patient responsibility.
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💰Revenue Cycle: Statements start the collections process and help recover unpaid balances.
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🛡️Legal Protection: Statements provide evidence that patients were informed before collections actions.
Patient Statement Costs by Vendor
| Vendor / Clearinghouse | 1st Page Cost | Additional Page Cost | Notes |
|---|---|---|---|
| Tebra (Trizetto) | $1.05 | $0.24 | Uses Trizetto for statements |
| AdvancedMD (Optum) | $0.89 | $0.16 | Uses Optum for statements |
| eCW (Trizetto) | $0.88 | $0.16 | Uses Trizetto for statements |
| eCW (Waystar) | $0.90 | $0.16 | Uses Waystar for statements |
Disclaimer: Prices shown are estimates as of August 2025. For the most accurate and up-to-date pricing, please confirm with each vendor directly. Do your research before making a final choice.