Attergo Billing

Get paid for the clinical work you already do.

Billing turns an immunization, a test or a medication review into a clean medical claim, checks it before it goes out, and follows it to the payment.

Where it breaks today

The revenue walks out with the patient

The vaccine is given, documented, and never billed. It was money the moment the needle went in. It is gone by close of business.

The form nobody behind the counter was trained on

Different form, different identifiers, different payer path. The rejection comes back fast, in a reason code that means nothing to a technician.

Denials get filed instead of worked

A denial with a live appeal window is money still on the table. Most pharmacies find the window after it has closed.

The software

Billed this quarter
$26,418
381 claims
Collected
$19,204
73% of billed
Denied and open
$1,884
24 claims · 9 still appealable
Never billed
$1,412
18 encounters
Attergo: the claims queue, showing claims by status with the payer, the billed amount and the age of each one.

Sample data from a demo account. Not customer results.

How it works

The encounter is already in your system. On an immunization administered or encounter documented event, Billing builds the claim from it, using the catalog entry that carries the CPT, the diagnosis codes, the place of service and the modifier rules for what was done.

A pharmacist confirms what happened clinically and signs. They never choose a code, a modifier or a form. The claim then runs the rule library before it leaves: timely filing, place of service, modifiers, diagnosis pointers, units, the rendering pharmacist credential, the subscriber id and the authorization number. Whatever fails is named on the claim rather than counted in a report.

Remittances come back matched to the claims they pay, and anything ambiguous is held for a human instead of posted quietly. Every denial becomes an item with its reason, its appeal path and the date the window shuts.

Event trail
Vaccine administered 11:04:02
Claim built 11:04:03
Pharmacist signed 11:05:44
Checked clean 11:05:45
Sent to the clearinghouse 11:05:47
Accepted 18:02:11

Connected products

Audit Holds the documentation every appeal needs
Authorizations Clears the prior auth before the claim goes out
Intelligence Shows what each service line actually collects
Compliance Catches a lapsing pharmacist credential before the claim goes

Week one

Day 0 Clearinghouse connected. Store and pharmacist NPIs recorded.
Day 1 Service catalog switched on for the states you operate in.
Day 2 Test mode. The whole flow against a mock payer, nothing filed.
Week 1 First live claims. We work the scrub failures with you.
Day 30 Denial patterns become new checks. Your clean-claim rate moves.

Connect one store. We will tell you what the month cost you.

Read-only credentials you can revoke. We come back with the fills that went out under cost, the services you could have billed, and the fills an auditor would ask about.