We are Billing Experts
Electronically bill for services with just a few clicks.
checks to ensure data is ready to be billed:
SET-Works validates data as it is entered, as well as notifies billing staff of errors that may lead to billing being rejected. Addresses are validated against the USPS database, medicaid statuses are validated, ICD9/ICD10 codes are validated, and much more.
Supports global standards in electronic billing formats for Healthcare data
SET-Works utilizes the HIPAA EDI 837 Health Care Claim Transaction Set and the HIPAA EDI 835 Health Care Claim Payment/Advise Transaction Set. For less-sophisticated funding agencies, SET-Works provides various billing reports and CSV export options for simplifying more manual billing processes.