Billing & Operations
Claims out right, every payment posted and reconciled, denials with the reason and next step.
One organization, one patient and provider record — every portal, every provider, enrolled.
Portals for clinicians, billers, credentialing and auditors — plus IT and marketing for the practice itself.
Claims out right, every payment posted and reconciled, denials with the reason and next step.
Every provider file in one place, every payer application tracked to approval.
Documentation that meets Florida program rules as it is written, eligibility checked first.
Charts reviewed against payer and state rules before an auditor does it.
Your practice's network, devices and EHR access — secured, backed up and supported by people who know HIPAA.
Get found by the patients and referral sources you want — without ever exposing PHI.
Pick a portal or service. Each tab lists what it does today for practices like yours.
From the superbill to the remittance: claims go out right, every payment is posted and reconciled to the check, and denials come back with the reason and the next step.
What's included
Upload 835 files or payer PDFs (Availity check details, scanned EOBs) and every check, claim, line and adjustment code is captured. Repeated checks are detected by payer, check number and amount.
Cash by payer, practice and month, days from service to payment, reversals and provider-level adjustments reconciled to the exact check amount.
Every adjustment is classified by CARC category so true denials are separated from contractual write-offs and patient responsibility, each with a concrete next step.
Ask in plain English or Spanish — "top 10 denied claims", "everything with CPT T1017" — and get a table, charts, an executive summary and Excel / PDF exports.
Weekly superbills per practice with per-payer fee schedules, diagnosis suggestions, per-day billing status and CMS-1500 generation.
Contracts, legal documents and employee paperwork sent as signature packages: one link, several documents, signed record with certificate.
Onboarding, timesheets, NFC time clock with an Android app, payroll support and an encrypted vault for employee documents.
HCC / RAF and HEDIS trackers per patient, a quick coding reference and a 590-code ICD-10 to HCC library for family practices.
Each practice keeps its own providers, payers, banking data and reports, while your team sees the whole group from one login.
A searchable knowledge base for procedures plus an AI assistant that answers staff questions and looks up NPI and payer data.
Every provider's file in one place, every payer application tracked to approval, and expirations caught before they stop a claim.
What's included
One file per provider with licenses, NPI, taxonomy, DEA, malpractice and CAQH data, plus alerts before anything expires.
Every application per insurance — Medicaid plans, Medicare and commercial — with status, dates, follow-ups and the documents sent.
Providers are matched against the Florida Medicaid Provider Master List and payer rosters can be imported to reconcile who is really enrolled.
Providers and specialists receive a link, upload what is missing and sign forms online — no e-mail back and forth.
Enrollment and financial-responsibility forms are generated from the provider file and signed electronically, ready to submit.
Approved providers flow automatically into the practice's billing setup, so claims never wait on a manual copy.
Insurance contacts, EDI / ERA enrollment sheets and clearinghouse setup per carrier, shared by the whole team.
Authorizations about to run out, renewals coming due and applications with no movement show up before they block a claim.
Documentation that meets Florida program rules as it is written: community behavioral health (CBH), targeted case management and TMS, with eligibility checked before the visit.
What's included
Patient charts encrypted with AES-256, with referral sources, insurance on file, multi-clinic assignment and a full access audit trail.
Coverage is verified through the Stedi API before the visit; expired or inactive insurance is flagged automatically on the chart.
Session notes, activity-set library, group sessions with automatic per-patient notes and unit control against each authorization.
The Florida 7-step model with the official state forms, certifications, service plans and service logs linked to each authorization.
Courses and episodes with signed pre-procedure checks, medication trials, daily treatment notes, serial scales and compliance gates before each session.
Treatment plans with goals and objectives, a library of 37+ assessment instruments and 16 consents with multi-party electronic signature.
Superbills and CMS-1500 built from documented sessions, with authorization and unit checks per CPT before anything goes out.
Per-client integrations: SMS appointment reminders, DocuSign for external signatures and telemedicine links inside the chart.
Clinical form templates per organization and an HR binder that tracks staff credentials, trainings and compliance documents.
The clinical director sees missing signatures, overlapping services and compliance gaps across all programs, continuously.
Charts reviewed against payer and state rules before an auditor does it, with findings cross-checked against what was actually paid.
What's included
Charts in Dropbox or Drive are scanned end to end: intakes, biopsychosocials, treatment plans, progress notes and signatures, per patient and date of service.
Scanned and hard-copy records are read with OCR and AI so they are reviewed with the same rules as native documents.
Rules aligned with Florida DOH / MQA and payer requirements, each with severity, plain-language explanation and remediation steps.
Clinical findings are matched to 835 remittances and denials by date of service, so you see what a documentation gap actually cost.
Drafts of corrected notes are delivered to Dropbox in the note's own format with a problems report; originals are never altered.
Payer delivery packages, executive summaries and detailed per-patient PDF reports, ready to hand to an auditor.
A readiness score per patient and per program, with the timeline of every document, so you know where to work first.
EOBs uploaded more than once are detected at claim level and integrity checks keep totals consistent across the project.
Your practice's network, devices and EHR access — secured, backed up and supported by people who know HIPAA.
What's included
Remote and on-site support for staff and clinicians, same-day response.
Setup, updates and lifecycle of PCs, tablets and printers.
Segmented, encrypted networks for clinical and guest use.
MFA, endpoint protection, encryption, phishing training, access logs.
Annual HIPAA SRA with a written remediation plan.
Encrypted daily backups, tested restores, recovery plan.
HIPAA configuration with BAA, secure email and file sharing.
Connectivity and support for your EHR, Availity and payer portals.
HIPAA-compliant video, phones and fax that follow your staff.
One contact for ISP, EHR, hardware and software vendors.
Accounts created and revoked the same day someone joins or leaves.
24/7 monitoring of servers, endpoints and backups with alerts.
Get found by the patients and referral sources you want — without ever exposing PHI.
What's included
Fast, ADA-accessible, HIPAA-aware site with online intake and booking.
Show up for "therapist near me" in every location you serve.
HIPAA-compliant review requests and response playbooks.
Psychology Today, Zocdoc, Healthgrades and payer directories kept accurate.
Google and Meta campaigns built within healthcare ad policies.
Educational, stigma-free content for behavioral health audiences.
Materials and outreach for PCPs, schools, courts and community partners.
HIPAA-compliant newsletters, reminders and reactivation campaigns.
Logo, brochures, signage and intake packets that match your site.
Call tracking and dashboards with no PHI in any analytics tool.
Tell patients and referrers when you get in-network with a new plan.
Everything in English and Spanish for Florida communities.
Your practice's network, devices and EHR access — secured, backed up and supported by people who know HIPAA.
Get found by the patients and referral sources you want — without ever exposing PHI.
We set up the organization with you, load your practices and train each team.
Practices, providers, payers, roles. Your spreadsheets are imported, not retyped.
Clinicians document, billers post and follow denials, credentialing tracks, auditors review.
Payments, denials, findings and enrollment in one place — reports in English or Spanish.
Every record encrypted, every change logged, every user scoped to their practices.
Patient identifiers encrypted field by field with AES-256; all traffic over TLS.
Users only see the practices they belong to; admins manage granular permissions.
Who created, changed or exported what, and when — in every module.
App Engine, Cloud SQL and Cloud Storage in the United States, daily backups.
Portals and services
bit AES field encryption
Monitoring and backups
Bilingual reports and support
The technology and service partners behind AlbaMed.
Digital business tools — websites, NFC cards, booking, invoicing and CRM — for the practices and professionals we serve.
Visit albadigi.com
Medical billing and coding, revenue cycle management and claims recovery — for behavioral health, ABA, dental and physician practices.
Visit billmedsolutions.org
It depends on the portals and services you use and on the number of practices. Tell us about your practice and we send a quote within one business day.
It depends on the number of practices and providers. We set up the organization with you, import your existing spreadsheets and documents, and train each team on its portal before going live.
Yes. Patient identifiers are encrypted field by field with AES-256, all traffic runs over TLS, every action is logged and each user only sees the practices assigned to them. Hosting is on Google Cloud in the United States.
Our workflows were built around Florida Medicaid and behavioral-health programs, and the billing, credentialing and audit portals work for practices in other states too.
The Clinical Portal can be your documentation system for CBH, TCM and TMS programs. If you keep another EHR, Billing, Credentialing and Audit work alongside it.
Tell us which programs you run. We will show you the portals with your kind of data.
A member of the team will write back to the email you gave us, usually within one business day.
Next step: a member of the team writes back within one business day.