HIPAA Compliant
AES-256 Encrypted
Full Audit Trails
SOC 2 Type II

The All-in-One Healthcare Operations Platform for Providers & Payers

ASClaimPro unifies Revenue Cycle Management, automated Provider Credentialing, Invoicing, and QuickBooks financial sync into a single modular platform — eliminating administrative silos, accelerating reimbursements, and keeping every data touchpoint HIPAA-secure and fully audited.

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Comprehensive RCM Solutions

Our platform offers end-to-end revenue cycle management to maximize your reimbursements and minimize administrative burden.

Automated Claims Processing

Our intelligent system automatically verifies, processes, and submits claims with minimal human intervention, reducing errors and speeding up reimbursement.

Seamless Payer Integration

Direct connections with all major payers ensure fast claim submission and payment processing, with real-time tracking throughout the process.

Denial Management

Our advanced analytics identify denial patterns and automate appeals, recovering more revenue and improving future claim submissions.

Payment Distribution

Automatically process and distribute payments to providers with detailed reconciliation reports and accounting system integration.

Analytics & Reporting

Gain actionable insights with comprehensive analytics and reporting tools that highlight revenue trends, bottlenecks, and opportunities.

Expert Support

Our team of RCM specialists provides personalized support and expertise to help you maximize your revenue potential.

Automated Provider Credentialing

End-to-end credentialing automation that verifies, tracks, and maintains provider credentials — reducing enrollment timelines from months to days while staying fully HIPAA-compliant.

1

Provider Onboarding

Providers complete a digital intake form. Data is encrypted at rest and in transit using AES-256.

2

Credential Data Collection

Automated aggregation of provider licenses, DEA registrations, board certifications, malpractice history, and education records via direct registry connections.

3

Primary Source Verification

Real-time checks against NPDB, state medical boards, SAM, OIG exclusion lists, and NPI registries.

4

Payer Enrollment

Automated submission of enrollment applications to Medicare, Medicaid, and commercial payers — including EDI 834 transactions.

5

Ongoing Monitoring

Continuous re-credentialing alerts, expiration tracking, and automated renewal workflows ensure providers stay active.

NPDB & OIG Exclusion Checks

Automated queries to the National Practitioner Data Bank and OIG exclusion database on every credentialing cycle. All query records are audit-logged per HIPAA Privacy Rule requirements.

Real-Time Expiration Tracking

License, DEA, malpractice, and board certification expiration dates are tracked automatically. Multi-stage alerts at 180, 90, 60, and 30 days prevent lapsed credentials from disrupting billing.

Multi-Payer Enrollment Automation

Single data entry drives automated enrollment packets to Medicare Part B, state Medicaid programs, and all major commercial payers. Status updates are surfaced in a unified credentialing dashboard.

Privileging & Committee Workflow

Digital routing of credentialing files to medical staff committees with e-signature support, approval tracking, and timestamped audit records stored in the HIPAA-compliant data vault.

EHR & Practice Management Integration

Bi-directional API connectors sync credentialing status directly into your EHR and practice management systems, eliminating double-entry and reducing credentialing gaps that delay billing.

HIPAA-Compliant Document Vault

All credentialing documents — licenses, certificates, CVs, malpractice policies — are stored in encrypted, role-based storage with access logs that satisfy HIPAA Security Rule §164.312 requirements.

Automated Invoicing & QuickBooks Integration

Generate compliant invoices automatically from claim adjudication data and sync every transaction to QuickBooks Online in real time — zero manual entry, zero reconciliation headaches.

QuickBooks Online

Live two-way sync

ASClaimPro
QuickBooks

Payments · Invoices · Adjustments · Write-offs · ERA/835 Postings

From Claim Adjudication to Closed Books — Automatically

When a payer posts an ERA (835 transaction), ASClaimPro automatically generates a patient or provider invoice, applies adjustments and contractual write-offs, and pushes the finalized entry to QuickBooks Online as a matched payment — all without staff intervention.

  • Auto-generate itemized invoices from CPT/ICD-10 adjudication data
  • Real-time sync of payments, adjustments, and contractual write-offs to QBO
  • Automated patient statements with secure payment portal links
  • Provider remittance reports auto-posted as QBO bill payments
  • Chart of accounts mapping customizable per practice or TIN
  • All financial data encrypted at rest; access gated by role-based permissions
  • Every sync event logged in immutable HIPAA audit trail
Connect QuickBooks

Automated Invoicing Workflow

1

ERA / 835 Receipt

Payer remittance advice is parsed and matched to claims automatically.

2

Payment Posting

Allowed amounts, adjustments, and patient responsibility calculated and posted.

3

Invoice Generation

Itemized invoices auto-generated with CPT descriptions, dates, and amounts.

4

QuickBooks Sync

Invoice, payment, and write-off records pushed to QBO with chart-of-accounts mapping.

5

Patient Statement

Secure digital statement delivered to patient with online payment link.

6

Audit & Close

All transactions logged in immutable audit trail; books reconciled and closed automatically.

Build Your Platform, Your Way

ASClaimPro is fully modular. Start with the pieces you need today — add more as you grow. No forced bundles, no bloated licenses.

Revenue Cycle Management (RCM) Core Module

End-to-end claim lifecycle management — from patient eligibility verification and clean claim submission through denial management, appeals, and payment reconciliation. Connects directly with all major clearinghouses and payers.

Claims Processing EDI 837P/837I/835 Eligibility Verification Denial Management Payment Posting Analytics & Reporting
Provider Credentialing Core Module

Fully automated credentialing workflows — primary source verification, NPDB and OIG checks, license monitoring, payer enrollment, and ongoing re-credentialing management. Can be deployed standalone or alongside RCM.

Primary Source Verification NPDB / OIG Checks License Monitoring Payer Enrollment Document Vault Re-Credentialing Alerts
Invoicing & Patient Billing Core Module

Automated invoice generation from ERA/835 adjudication data, patient responsibility calculation, secure digital statements, and online payment portal. Works standalone for practices that handle billing separately from claims processing.

ERA / 835 Auto-Posting Invoice Generation Patient Statements Online Payment Portal Remittance Reports Write-off Management
QuickBooks Online Integration Optional Add-On

Add real-time two-way sync between ASClaimPro and QuickBooks Online. Invoices, payments, adjustments, and write-offs are pushed automatically to QBO — complete with chart-of-accounts mapping per TIN or practice location. Every sync is logged in the HIPAA audit trail.

Live QBO Sync Chart of Accounts Mapping Payment Batch Export Adjustment Sync Audit-Logged Events

Your Platform Summary

  • Revenue Cycle Management
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All modules include HIPAA compliance, AES-256 encryption, role-based access control, and immutable audit trails at no extra charge.

Module Comparison

Capability RCM Credentialing Invoicing + QuickBooks
Eligibility & Benefits Verification
EDI 837 Claim Submission
Denial Management & Appeals
ERA / 835 Payment Posting
Primary Source Verification
NPDB / OIG Exclusion Checks
License & Cert Expiry Alerts
Payer Enrollment Automation
Invoice Generation
Patient Statements & Online Payments
QuickBooks Invoice & Payment SyncAdd-On
Chart of Accounts MappingAdd-On
Provider Remittance → QBO BillAdd-On
HIPAA Encryption & Audit Logs
Role-Based Access Control
Analytics & Custom Reporting
EHR / PMS API Integration

HIPAA-Compliant Data Infrastructure

Every data element — from a provider license scan to a payment sync with QuickBooks — is stored, transmitted, and accessed under a comprehensive HIPAA compliance framework that meets the Privacy, Security, and Breach Notification Rules.

Privacy Rule

PHI access is governed by minimum-necessary policies. Role-based access controls ensure users can only view the data their job function requires.

Security Rule

Administrative, physical, and technical safeguards per §164.312: AES-256 encryption, MFA, automatic session timeouts, and encrypted backups.

Breach Notification

Automated breach detection workflows with real-time alerts, risk assessments, and templated notifications to comply with 60-day HHS reporting requirements.

BAA Management

Digital Business Associate Agreements are automatically generated, signed, and tracked for every third-party integration including QuickBooks and clearinghouses.

Data Protection Controls

  • AES-256 encryption for all PHI at rest
  • TLS 1.3 for all data in transit
  • Multi-factor authentication (MFA) enforced
  • Role-based access control (RBAC) with least-privilege model
  • Automatic session lock after 15 minutes of inactivity
  • Geo-redundant encrypted backups with point-in-time recovery
  • Data masking for PHI in non-production environments

Compliance & Governance

  • Annual HIPAA risk assessments per §164.308(a)(1)
  • SOC 2 Type II attestation (annual)
  • Workforce HIPAA training with completion tracking
  • Vendor BAA repository and expiration alerts
  • Incident response plan with automated escalation paths
  • HHS breach notification workflows (60-day SLA)
  • Quarterly penetration testing and vulnerability scanning

Enterprise Security & Access Auditing

Every login, data access, configuration change, and integration event is captured in an immutable, tamper-evident audit log — giving your compliance team complete visibility at all times.

Zero-Trust Architecture

No implicit trust is granted to any user, device, or network. Every request is authenticated, authorized, and encrypted — whether inside or outside the corporate perimeter. API tokens scoped to minimum required permissions.

Multi-Factor Authentication

MFA is mandatory for all user accounts — including QuickBooks integration credentials, credentialing portal access, and administrative functions. TOTP, hardware keys, and SSO/SAML supported.

Immutable Audit Logs

Every access event — PHI views, invoices generated, credentialing records retrieved, QB sync events — is written to a write-once, append-only log stored separately from application data. Logs are retained 7 years per HIPAA requirements.

Anomaly Detection & Alerting

Machine-learning based behavioral analytics flag unusual access patterns — bulk PHI exports, off-hours logins, unusual credentialing queries — and route alerts to security staff in real time via PagerDuty or email.

Role-Based Access Control

Granular RBAC with predefined roles (Biller, Credentialing Coordinator, Compliance Officer, Finance/QB Admin, Super Admin) and custom role builder. Permission changes require dual-approval and are audit-logged.

API Security & Rate Limiting

All QuickBooks, clearinghouse, and registry API tokens are stored in a secrets vault (HashiCorp Vault), rotated automatically, and rate-limited. OWASP API security best practices enforced with WAF protection.

Live Audit Trail Preview

2025-05-10 08:14:32 Provider record accessed — NPI 1234567890 (Dr. Amanda Torres) — License expiry reviewed j.smith@clinic.org INFO
2025-05-10 08:17:04 Invoice #INV-20250510-4821 generated — $1,840.00 — synced to QuickBooks Online billing-api SUCCESS
2025-05-10 08:22:51 Credential registry sync completed — 14 providers updated — 2 credentials flagged near expiry cred-scheduler ALERT
2025-05-10 08:31:17 User role modified — billing_coordinator → finance_admin — dual approval obtained admin@clinic.org CHANGE
2025-05-10 08:44:03 ERA 835 posted — Payer: Aetna — 47 claims reconciled — QBO payment batch #QB-8841 created era-processor SUCCESS
2025-05-10 09:02:28 Failed login attempt from unrecognized IP 198.51.100.42 — account locked, security team alerted unknown SECURITY
HIPAA Privacy & Security Rule
SOC 2 Type II Annual Attestation
AES-256 Encryption Standard
Zero-Trust Network Architecture
HITRUST CSF Framework Aligned

Our Revenue Cycle Process

A streamlined approach to medical claim processing and payment distribution

Claim Collection

We collect claims from healthcare providers through our secure portal, API integration, or direct EHR connection.

Verification & Scrubbing

Our system automatically verifies coverage and scrubs claims for errors, ensuring clean submissions and faster payment.

Payer Submission

Claims are electronically submitted to the appropriate payers with real-time tracking and notification capabilities.

Payment Processing

When payments are received, our system reconciles them against submitted claims and prepares them for distribution — simultaneously syncing to QuickBooks Online.

Provider Distribution

Payments are automatically distributed to providers via ACH, with detailed explanations of benefits and payment reconciliation.

Reporting & Analytics

Comprehensive reports provide insights into revenue performance, denial rates, and opportunities for improvement.

Trusted by Healthcare Providers

See what our clients have to say about our revenue cycle management solutions

Ready to Optimize Your Revenue Cycle?

Schedule a demo today and see how ASClaimPro can streamline your claim processing, automate provider credentialing, and sync your financials to QuickBooks — all in a HIPAA-secure environment.

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